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KANAIYALAL PATEL M.D.
NPI 1295737914
Otolaryngology - Sleep Medicine in Greenbelt, MD

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
7231 HANOVER PKWY, SUITE B, GREENBELT, MD 20770(301) 441-3122(301) 441-3124 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kanaiyalal Patel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANAIYALAL PATEL M.D. (NPI 1295737914) is an individual sleep medicine provider in Greenbelt, Maryland, licensed in Maryland (D0021799) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Luminis Health Doctors Community Medical Ctr, Inc, and is a graduate of Georgetown University School Of Medicine (1982).

NPPES Registry Identity

NPI1295737914
Entity TypeIndividualMale
Primary Taxonomy207YS0012X
Provider Legal NameKANAIYALAL PATELCredential: M.D.
Location Address7231 HANOVER PKWY, SUITE BGreenbelt, MD 20770-2027
Mailing Address7235 Hanover Pkwy, Suite BGreenbelt, MD 20770-3601 · (301) 441-3122 · Fax (301) 441-3124
Phone(301) 441-3122
Fax(301) 441-3124
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 1982
Enumeration DateAugust 12, 2005
Last NPPES UpdateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1295737914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207YS0012X
License✔ Licensed in MD · D0021799
Definition
An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedSpecialistTaxonomy 174400000X · License D21799 (MD)
Also ListedOtolaryngologyTaxonomy 207Y00000X · License D0021799 (MD)
7231 HANOVER PKWY, Greenbelt, MD 20770
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Other Names 1

Professional Name (2)Kanu Patel M.d.

Other Identifiers 1

Medicaid255251500MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kanaiyalal Patel M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012190630
PECOS Enrollment IDI20110523000775
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
715 services460 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
444 services444 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
351 services275 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
193 services169 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
53 services47 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
52 services48 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Luminis Health Doctors Community Medical Ctr, Inc

Acute Care Hospitals · Lanham, MD
2/5 CMS rating
OwnershipProprietary
CMS Certification Number210051
Location8118 Good Luck RoadLanham, MD 20706 · Prince Georges County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20770 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
17 suppliers374 claims374 services$32.92 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers349 claims349 services$73.75 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
15 suppliers340 claims874 services$28.81 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
11 suppliers196 claims1,111 services$15.98 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers41 claims240 services$12.76 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
15 suppliers245 claims245 services$45.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RODRIGO MARTINEZ M.D.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
7231 HANOVER PKWY, SUITE B
GREENBELT, MD 20770
Prince George's County (301) 441-3124

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kanaiyalal Patel's NPI number?

The NPI number for Kanaiyalal Patel is 1295737914. It was assigned to this individual provider in the NPPES registry on August 12, 2005. The provider is also known as Kanu Patel M.D..

Where is Kanaiyalal Patel located?

Kanaiyalal Patel practices at 7231 Hanover Pkwy Suite B, Greenbelt, MD 20770. The listed phone number is (301) 441-3122.

What is Kanaiyalal Patel's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Sleep Medicine, with taxonomy code 207YS0012X.

Is Kanaiyalal Patel enrolled in Medicare?

Yes. Kanaiyalal Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kanaiyalal Patel affiliated with any hospitals?

According to CMS data, Kanaiyalal Patel is affiliated with Luminis Health Doctors Community Medical Ctr, Inc.

When was this NPI record last updated?

The NPPES record for Kanaiyalal Patel was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.