DR. KRISH PATEL M.D.
NPI 1346484821
Internal Medicine - Hematology & Oncology in Nashville, TN

Active since April 28, 2009PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
335 24TH AVE N STE 200, NASHVILLE, TN 37203(615) 329-7640 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2025, Jun 23, 2021 (2 updates tracked since 2021).

About Dr. Krish Patel M.d. NPPES

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

DR. KRISH PATEL M.D. (NPI 1346484821) is an individual hematology & oncology provider in Nashville, Tennessee, licensed in Tennessee (72470) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Tristar Centennial Medical Center, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1346484821
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. KRISH PATELCredential: M.D.
Location Address335 24TH AVE N STE 200Nashville, TN 37203
Mailing Address335 24th Ave N Ste 200Nashville, TN 37203-1516 · (615) 329-7640
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2009
Enumeration DateApril 28, 2009
Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
NPI 1346484821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in TN · 72470 Licensed in WA · MD60646130
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
335 24TH AVE N STE 200, Nashville, TN 37203

Secondary Practice Location 1

Location 11221 Madison St, Ste 1020Seattle, WA 98104-3588 · Phone (206) 215-2658 · Fax (206) 991-2363

Accepted Insurance

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

Dr. Krish 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 ID2769624741
PECOS Enrollment IDI20241216002768
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 5

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services55 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
69 services36 patients
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.
66 services51 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
20 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

Other Providers at the Same Location NPPES 9

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

Non-Pharmacy Dispensing Site
335 24TH AVE N STE 200
NASHVILLE, TN 37203
Internal Medicine
335 24TH AVE N STE 200
NASHVILLE, TN 37203
Internal Medicine (Hematology & Oncology)
335 24TH AVE N STE 200
NASHVILLE, TN 37203
Nurse Practitioner
335 24TH AVE N STE 200
NASHVILLE, TN 37203
Physician Assistant
335 24TH AVE N STE 200
NASHVILLE, TN 37203
Internal Medicine (Hematology & Oncology)
335 24TH AVE N STE 200
NASHVILLE, TN 37203
Internal Medicine (Hematology & Oncology)
335 24TH AVE N STE 200
NASHVILLE, TN 37203
Internal Medicine (Hematology & Oncology)
335 24TH AVE N STE 200
NASHVILLE, TN 37203

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 Krish Patel's NPI number?

The NPI number for Krish Patel is 1346484821. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Where is Krish Patel located?

Krish Patel practices at 335 24th Ave N Ste 200, Nashville, TN 37203. The listed phone number is (615) 329-7640.

What is Krish Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Krish Patel enrolled in Medicare?

Yes. Krish 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.

What insurance does Krish Patel accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Krish Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Krish Patel affiliated with any hospitals?

According to CMS data, Krish Patel is affiliated with Tristar Centennial Medical Center and Swedish Medical Center.

When was this NPI record last updated?

The NPPES record for Krish Patel was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.