Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. HARSHUL AMRUT PATEL M.D.
NPI 1427213842
Internal Medicine in Cadiz, KY

Q: What is Harshul Patel's NPI number?

The NPI number for Harshul Patel is 1427213842. It was assigned to this individual provider in the NPPES registry on July 24, 2008.

Q: What is Harshul Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Harshul Patel was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.

Active since July 24, 2008PECOS EnrolledCLIA 18D2155264 · Waiver

116 MAIN ST, CADIZ, KY 42211(270) 350-4504(270) 350-4590 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2023, Jun 12, 2018 (2 updates tracked since 2018).

On this page

About Dr. Harshul Amrut Patel M.d. NPPES

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

DR. HARSHUL AMRUT PATEL M.D. (NPI 1427213842) is an individual internal medicine provider in Cadiz, Kentucky, licensed in Kentucky (42143) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 25, 2028, and is affiliated with Deaconess Hospital Inc.

NPPES Registry Identity

NPI1427213842

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. HARSHUL AMRUT PATELCredential: M.D.

Location Address116 MAIN STCadiz, KY 42211-9163

Mailing Address116 Main StCadiz, KY 42211-9163 · (270) 350-4504 · Fax (270) 350-4590

Phone(270) 350-4504

Fax(270) 350-4590

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateJuly 24, 2008

Last NPPES UpdateOctober 20, 20262 updates tracked since enumeration

NPPES CertifiedOctober 20, 2026

✔ NPI 1427213842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · 42143

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPharmacistTaxonomy 183500000X · License 28RI02886000 (NJ)

116 MAIN ST, Cadiz, KY 42211

Open in Google Maps ↗

Secondary Practice Locations 4

Location 1310 Hawthorne StPrinceton, KY 42445-1622 · Phone (270) 365-2494 · Fax (270) 365-2496

Location 21721 Canton StHopkinsville, KY 42240-1991 · Phone (270) 632-4525 · Fax (270) 632-4526

Location 31724 Kenton St Ste 1DHopkinsville, KY 42240-1981 · Phone (270) 887-9066 · Fax (270) 887-9199

Location 4900 Hospital DrMadisonville, KY 42431 · Phone (270) 825-5100 ext. 5664

Other Identifiers 2

Other000000577212KY · Anthem Bcbs

Medicaid7100050080KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Harshul Amrut 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 ID941378350

PECOS Enrollment IDI20081010000696

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 Reassignments

Medicare enrollment records show Harshul Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maanya LLC

Same address

Family Medicine

116 MAIN ST
Cadiz, KY 42211

Reassigned Medicare billing, Kentucky enrollment
15 clinicians in this Medicare group

NPI 1326424177 (270) 350-4504

Trigg County Hospital, Inc

0.6 mi

Critical Access

254 MAIN ST
Cadiz, KY 42211

Reassigned Medicare billing, Kentucky enrollment
57 clinicians in this Medicare group

NPI 1538218680 (270) 522-3215

Jennie Stuart Medical Center Inc

18 mi

Rural Health

105 KEETON DR
Hopkinsville, KY 42240

Reassigned Medicare billing, Kentucky enrollment
169 clinicians in this Medicare group

NPI 1679293369 (270) 887-6565

Southeastern Physician Services PC

208 mi

Hospitalist

990 OAK RIDGE TPKE
Oak Ridge, TN 37830

Reassigned Medicare billing, Kentucky enrollment
358 clinicians in this Medicare group

NPI 1083835441 (865) 481-1000

Provider Partners Care Management LP

622 mi

Nurse Practitioner

8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045

Reassigned Medicare billing, Kentucky enrollment
100 clinicians in this Medicare group

NPI 1013348028 (443) 275-9800

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2155264

Harshul Patel, MD · Hopkinsville, KY

Active · expires Sep 25, 2028

CLIA Number18D2155264

Laboratory TypePhysician Office

Certificate Effective DateSeptember 26, 2026

Certificate Expiration DateSeptember 25, 2028

Laboratory DirectorDr. Harshul Patel

Laboratory Phone(270) 887-9066

Laboratory LocationHarshul Patel, MD1724 Kenton St Doctor Pavilion Suite 1D, Hopkinsville, KY 42240

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 16

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

3,729 services439 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

2,159 services213 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

249 services217 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

194 services177 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

143 services119 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

95 services42 patients

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.

86 services48 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

37 services35 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

35 services33 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

32 services28 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

27 services11 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

26 services24 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

22 services20 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

15 services15 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

15 services15 patients

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181

This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.

14 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150082

Location600 Mary StEvansville, IN 47710 · Vanderburgh County

Emergency services

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180038

Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County

Emergency services Birthing friendly

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180051

Location320 West 18th StreetHopkinsville, KY 42240 · Christian County

Emergency services Birthing friendly

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180093

Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County

Emergency services Birthing friendly

Caldwell Medical Center

Critical Access Hospitals · Princeton, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181322

Location100 Medical Center DrivePrinceton, KY 42445 · Caldwell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42211 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers18 claims35 services$5.45 avg. paid by Medicare

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

2 suppliers17 claims17 services$24.25 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers17 claims17 services$8.07 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers47 claims47 services$70.40 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers28 claims28 services$16.94 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$907.03 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 9

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

LESLIE JOHNSON APRN

Nurse Practitioner (Family)

116 MAIN ST
CADIZ, KY 42211

Trigg County (270) 350-4504

CHRISTOPHER ALLEN RUSHING

Nurse Practitioner (Family)

116 MAIN ST
CADIZ, KY 42211

Trigg County (270) 350-4504

JANA ROZMARYNOWSKI PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

116 MAIN ST
CADIZ, KY 42211

Trigg County (270) 350-4504

MAANYA LLC

Family Medicine

116 MAIN ST
CADIZ, KY 42211

Trigg County (270) 350-4504

CHRYSTAL ROGERS APRN

Nurse Practitioner (Primary Care)

116 MAIN ST
CADIZ, KY 42211

Trigg County (270) 350-4504

MAANYA LLC

Clinic/Center (Rural Health)

116 MAIN ST
CADIZ, KY 42211

Trigg County (270) 350-4504

DANIELLE JENNINGS APRN

Nurse Practitioner (Family)

116 MAIN ST
CADIZ, KY 42211

Trigg County (270) 350-4504

LYNDSEY WEST FNP-BC

Nurse Practitioner (Family)

116 MAIN ST
CADIZ, KY 42211

Trigg County (270) 350-4504

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 Harshul Patel's NPI number?

The NPI number for Harshul Patel is 1427213842. It was assigned to this individual provider in the NPPES registry on July 24, 2008.

Where is Harshul Patel located?

Harshul Patel practices at 116 Main St, Cadiz, KY 42211. The listed phone number is (270) 350-4504.

What is Harshul Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Harshul Patel enrolled in Medicare?

Yes. Harshul 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 organizations bill Medicare for Harshul Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harshul Patel reassigns Medicare benefits to 5 organizations: Maanya LLC (Cadiz, KY), Trigg County Hospital, Inc (Cadiz, KY), Jennie Stuart Medical Center Inc (Hopkinsville, KY), Southeastern Physician Services PC (Oak Ridge, TN) and Provider Partners Care Management LP (Columbia, MD). Each 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 Harshul Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Harshul Patel hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2155264) is associated with this NPI, valid through September 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Harshul Patel accept?

Health plans from Anthem Blue Cross and Blue Shield list Harshul 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 Harshul Patel affiliated with any hospitals?

According to CMS data, Harshul Patel is affiliated with Deaconess Hospital Inc, Owensboro Health Regional Hospital, Jennie Stuart Medical Center, Baptist Health Deaconess Madisonville and Caldwell Medical Center.

When was this NPI record last updated?

The NPPES record for Harshul Patel was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.

About Dr. Harshul Amrut Patel M.d. NPPES

NPPES Registry Identity

Specialties & Licenses 2

Secondary Practice Locations 4

Other Identifiers 2

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Medicare Billing Reassignments

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 18D2155264

Areas of Expertise CMS Part B claims 16

Hospital Affiliations CMS Care Compare 5

Deaconess Hospital Inc

Owensboro Health Regional Hospital

Jennie Stuart Medical Center

Baptist Health Deaconess Madisonville

Caldwell Medical Center

Physician Visit Costs CMS claims · ZIP area

Referred Medical Equipment & Supplies CMS DME claims 10

Other Providers at the Same Location NPPES 9

Frequently Asked Questions NPPES & CMS

What is Harshul Patel's NPI number?

Where is Harshul Patel located?

What is Harshul Patel's specialty?

Is Harshul Patel enrolled in Medicare?

Which organizations bill Medicare for Harshul Patel's services?

Does Harshul Patel hold a CLIA laboratory certificate?

What insurance does Harshul Patel accept?

Is Harshul Patel affiliated with any hospitals?

When was this NPI record last updated?

Certificate of Waiver 18D2155264