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PARESH PATEL MD
NPI 1386750073
Internal Medicine - Gastroenterology in Kansas City, MO

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
6675 HOLMES RD, SUITE 430, KANSAS CITY, MO 64131(816) 361-0055(816) 361-5775 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paresh Patel Md NPPES

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

PARESH PATEL MD (NPI 1386750073) is an individual gastroenterology provider in Kansas City, Missouri, licensed in Missouri (2004034161) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Overland Park Reg Med Ctr, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1386750073
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePARESH PATELCredential: MD
Location Address6675 HOLMES RD, SUITE 430Kansas City, MO 64131-1150
Mailing Address6675 Holmes Rd, Suite 430Kansas City, MO 64131-1150 · (816) 361-0055 · Fax (816) 361-5775
Phone(816) 361-0055
Fax(816) 361-5775
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateAugust 22, 2006
Last NPPES UpdateJune 30, 2015
✔ NPI 1386750073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in MO · 2004034161✔ Licensed in KS · 0431054
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
6675 HOLMES RD, Kansas City, MO 64131
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIND92146KS
Medicaid200300390AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City.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

Paresh Patel Md 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 ID4385627207
PECOS Enrollment IDI20070127000023
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 7

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.
154 services92 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
67 services67 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
55 services55 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
40 services40 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.
34 services34 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Overland Park Reg Med Ctr

Acute Care Hospitals · Overland Park, KS
4/5 CMS rating
OwnershipProprietary
CMS Certification Number170176
Location10500 Quivira RoadOverland Park, KS 66215 · Johnson County
Emergency services Birthing friendly

Menorah Medical Center

Acute Care Hospitals · Overland Park, KS
3/5 CMS rating
OwnershipProprietary
CMS Certification Number170182
Location5721 West 119th StreetOverland Park, KS 66209 · Johnson County
Emergency services

Belton Regional Medical Center

Acute Care Hospitals · Belton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260214
Location17065 S 71 HighwayBelton, MO 64012 · Cass County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64131 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%346 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims312 services$2.77 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims6,646 services$0.26 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 20

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

DR. JASON MATHEW GOERGEN D.O.
Family Medicine
6675 HOLMES RD, SUITE 450
KANSAS CITY, MO 64131
Jackson County (816) 276-7600
RADHIKA MATHUR M.D.
Internal Medicine
6675 HOLMES RD, SUITE 550
KANSAS CITY, MO 64131
Jackson County (816) 363-7710
KAVITHA K ARABINDOO M.D.
Family Medicine
6675 HOLMES RD, SUITE 360
KANSAS CITY, MO 64131
Jackson County (816) 276-7600
DR. ROXANNA MIRZA M.D.
General Acute Care Hospital
6675 HOLMES RD, STE. 450
KANSAS CITY, MO 64131
Jackson County (816) 276-7650
JULIE ALVAREZ MD LLC
Clinic/Center
6675 HOLMES RD, SUITE 350
KANSAS CITY, MO 64131
Jackson County (816) 523-6609
MICHAEL DAHL MD
Internal Medicine
6675 HOLMES RD, SUITE 550
KANSAS CITY, MO 64131
Jackson County (816) 363-7710
DR. DARREN ERNEST PRESLEY M.D.
Family Medicine
6675 HOLMES RD, STE 450
KANSAS CITY, MO 64131
Jackson County (816) 276-7600
COMPREHENSIVE ADULT CARE, LLC
Internal Medicine
6675 HOLMES RD, SUITE 320
KANSAS CITY, MO 64131
Jackson County (816) 926-9881

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 Paresh Patel's NPI number?

The NPI number for Paresh Patel is 1386750073. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Paresh Patel located?

Paresh Patel practices at 6675 Holmes Rd Suite 430, Kansas City, MO 64131. The listed phone number is (816) 361-0055.

What is Paresh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Paresh Patel enrolled in Medicare?

Yes. Paresh 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 Paresh Patel accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list Paresh 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 Paresh Patel affiliated with any hospitals?

According to CMS data, Paresh Patel is affiliated with Overland Park Reg Med Ctr, Menorah Medical Center and Belton Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Paresh Patel was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.