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DR. KIRITKUMAR BABUBHAI PATEL M.D.
NPI 1427247931
Internal Medicine - Sleep Medicine in Modesto, CA

Active since October 20, 2007PECOS EnrolledAccepts Medicare Assignment
201 E ORANGEBURG AVE STE E, MODESTO, CA 95350(209) 522-8881(209) 522-8885 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Kiritkumar Babubhai Patel M.d. NPPES

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

DR. KIRITKUMAR BABUBHAI PATEL M.D. (NPI 1427247931) is an individual sleep medicine provider in Modesto, California, licensed in California (A35277) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1427247931
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameDR. KIRITKUMAR BABUBHAI PATELCredential: M.D.
Location Address201 E ORANGEBURG AVE STE EModesto, CA 95350-5355
Mailing Address3144 Knightsbridge DrModesto, CA 95355-8688 · (209) 551-3196
Phone(209) 522-8881
Fax(209) 522-8885
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateOctober 20, 2007
Last NPPES UpdateMay 20, 2021
NPPES CertifiedMay 20, 2021
✔ NPI 1427247931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in CA · A35277
Definition
An Internist 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.
201 E ORANGEBURG AVE STE E, Modesto, CA 95350
Open in Google Maps ↗

Other Identifiers 5

Other1750487021CA · Npi 2
OtherZZZ1580ZCA · Medicare
Medicaid00A352770CA
Other1346380961Npi
Other1427247931CA · Npi

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. Kiritkumar Babubhai 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 ID3779552807
PECOS Enrollment IDI20101207000114
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

4

Medicare enrollment records show Kiritkumar Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kiritkumar B Patel MD Inc
Same address
Pulmonary Disease
201 E ORANGEBURG AVE STE E
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1750487021 (209) 522-8881
Pacific Sleep Disorders Center A California General Partnership
28 mi
Sleep Medicine
1801 E MARCH LN, SUITE C310
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
NPI 1073534103 (209) 465-5731
East Bay Sleep Medical Center
60 mi
Sleep Disorder Diagnostic
27001 CALAROGA AVE, SUITE 1
Hayward, CA 94545
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1205932555 (510) 670-0246
Whittier Sleep Center
304 mi
Medical Specialty
7957 PAINTER AVE STE 201
Whittier, CA 90602
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1346380961 (562) 696-5022

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

Areas of Expertise CMS Part B claims

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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 13

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
16 suppliers189 claims189 services$38.04 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers142 claims142 services$85.22 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers137 claims372 services$33.69 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
14 suppliers196 claims1,099 services$17.10 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers143 claims758 services$14.01 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
16 suppliers336 claims336 services$52.64 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.

KIRITKUMAR B PATEL MD INC
Internal Medicine (Pulmonary Disease)
201 E ORANGEBURG AVE STE E
MODESTO, CA 95350
Stanislaus County (209) 522-8881

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 Kiritkumar Patel's NPI number?

The NPI number for Kiritkumar Patel is 1427247931. It was assigned to this individual provider in the NPPES registry on October 20, 2007.

Where is Kiritkumar Patel located?

Kiritkumar Patel practices at 201 E Orangeburg Ave Ste E, Modesto, CA 95350. The listed phone number is (209) 522-8881.

What is Kiritkumar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Kiritkumar Patel enrolled in Medicare?

Yes. Kiritkumar 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 Kiritkumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiritkumar Patel reassigns Medicare benefits to 4 organizations: Kiritkumar B Patel MD Inc (Modesto, CA), Pacific Sleep Disorders Center A California General Partnership (Stockton, CA), East Bay Sleep Medical Center (Hayward, CA) and Whittier Sleep Center (Whittier, CA). 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 Kiritkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kiritkumar Patel was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.