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DR. KRUTI SHIVLAL PATEL M.D
NPI 1376926725
Obstetrics & Gynecology - Obstetrics in Pueblo, CO

Active since July 02, 2015PECOS EnrolledAccepts Medicare Assignment
1600 N GRAND AVE STE 400, PUEBLO, CO 81003(719) 585-2500(719) 543-1041 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kruti Shivlal Patel M.d NPPES

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

DR. KRUTI SHIVLAL PATEL M.D (NPI 1376926725) is an individual obstetrics provider in Pueblo, Colorado, licensed in Colorado (DR.0062298) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1376926725
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameDR. KRUTI SHIVLAL PATELCredential: M.D
Location Address1600 N GRAND AVE STE 400Pueblo, CO 81003-2760
Mailing AddressPo Box 560825Denver, CO 80256-0825 · (719) 595-7580 · Fax (719) 545-0176
Phone(719) 585-2500
Fax(719) 543-1041
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 2, 2015
Last NPPES UpdateJuly 1, 2019
✔ NPI 1376926725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in CO · DR.0062298
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 4301108331 (MI)
1600 N GRAND AVE STE 400, Pueblo, CO 81003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kruti Shivlal 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 ID5799075719
PECOS Enrollment IDI20190801002968
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.

Medicare Billing Reassignment

Medicare enrollment records show Kruti Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthone Clinic Services - Obstetrics And Gynecology LLC
98 mi
Obstetrics & Gynecology
1400 S POTOMAC ST STE 220
Aurora, CO 80012
  • Reassigned Medicare billing, Colorado enrollment
  • 78 clinicians in this Medicare group
NPI 1831397215 (303) 690-2198

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81003 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

WOMENS HEALTH CENTER INC
Obstetrics & Gynecology (Hospice and Palliative Medicine)
1600 N GRAND AVE STE 400
PUEBLO, CO 81003
Pueblo County (719) 543-4000
POUDRE VALLEY MEDICAL GROUP, LLC
Obstetrics & Gynecology
1600 N GRAND AVE STE 400
PUEBLO, CO 81003
Pueblo County (719) 585-2500
MRS. PAMELA D QUINN
Nurse Practitioner (Women's Health)
1600 N GRAND AVE STE 400
PUEBLO, CO 81003
Pueblo County (719) 585-2500
DR. ANTHONY BRAUSCH MD
Obstetrics & Gynecology
1600 N GRAND AVE STE 400
PUEBLO, CO 81003
Pueblo County (719) 562-2021
JENNIFER JOHN MD
Obstetrics & Gynecology
1600 N GRAND AVE STE 400
PUEBLO, CO 81003
Pueblo County (719) 585-2500

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 Kruti Patel's NPI number?

The NPI number for Kruti Patel is 1376926725. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Where is Kruti Patel located?

Kruti Patel practices at 1600 N Grand Ave Ste 400, Pueblo, CO 81003. The listed phone number is (719) 585-2500.

What is Kruti Patel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Kruti Patel enrolled in Medicare?

Yes. Kruti 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.

Which organization bills Medicare for Kruti Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kruti Patel reassigns Medicare benefits to Healthone Clinic Services - Obstetrics And Gynecology LLC (Aurora, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kruti Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kruti Patel accept?

Health plans from UnitedHealthcare list Kruti 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.

When was this NPI record last updated?

The NPPES record for Kruti Patel was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.