DR. KAAJAL PATEL O.D.
NPI 1457539991
Optometrist in South Richmond Hill, NY

Active since February 06, 2008PECOS EnrolledAccepts Medicare Assignment
11510 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419(718) 323-6410 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kaajal Patel O.d. NPPES

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

DR. KAAJAL PATEL O.D. (NPI 1457539991) is an individual optometrist in South Richmond Hill, New York, licensed in North Carolina (2299) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2007).

NPPES Registry Identity

NPI1457539991
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KAAJAL PATELCredential: O.D.
Location Address11510 LIBERTY AVESouth Richmond Hill, NY 11419-1902
Mailing Address11510 Liberty AveSouth Richmond Hill, NY 11419-1902 · (718) 323-6410
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2007
Enumeration DateFebruary 6, 2008
Last NPPES UpdateFebruary 16, 2023
NPPES CertifiedFebruary 16, 2023
✔ NPI 1457539991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NC · 2299✔ Licensed in NY · TUV007152
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
11510 LIBERTY AVE, South Richmond Hill, NY 11419

Accepted 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. Kaajal Patel O.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 ID5395990840
PECOS Enrollment IDI20130307000002
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

5

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

Optometrist
1813 W EHRINGHAUS ST
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1427599802 (North Carolina)
  • 137 clinicians in this Medicare group
Primary Care
310 S CHURCH ST
Burlington, NC 27215
  • Reassigned Medicare billing, North Carolina enrollment
  • 13 clinicians in this Medicare group
Optometrist
642 FRIENDLY CENTER RD
Greensboro, NC 27408
  • Reassigned Medicare billing, North Carolina enrollment
  • 10 clinicians in this Medicare group
Optometrist
604 N TRADE ST
Winston Salem, NC 27101
  • Reassigned Medicare billing, North Carolina enrollment
  • 13 clinicians in this Medicare group
Optometrist
7539 S UNIVERSITY BLVD
Centennial, CO 80122
  • Reassigned Medicare billing, North Carolina enrollment
  • 26 clinicians in this Medicare group

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 11419 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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 4

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

Preferred Provider Organization
11510 LIBERTY AVE
SOUTH RICHMOND HILL, NY 11419
Eyewear Supplier
11510 LIBERTY AVE
SOUTH RICHMOND HILL, NY 11419
Eyewear Supplier
11510 LIBERTY AVE
SOUTH RICHMOND HILL, NY 11419
Optometrist
11510 LIBERTY AVE
SOUTH RICHMOND HILL, NY 11419

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 Kaajal Patel's NPI number?

The NPI number for Kaajal Patel is 1457539991. It was assigned to this individual provider in the NPPES registry on February 6, 2008.

Where is Kaajal Patel located?

Kaajal Patel practices at 11510 Liberty Ave, South Richmond Hill, NY 11419. The listed phone number is (718) 323-6410.

What is Kaajal Patel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kaajal Patel enrolled in Medicare?

Yes. Kaajal 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 Kaajal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaajal Patel reassigns Medicare benefits to 5 organizations: Eyecarecenter Od PA (Elizabeth City, NC), Thurmond Eye Associates Od, PA (Burlington, NC), Fox Eye Care Group (Greensboro, NC), Camel City Optometric, P.A. (Winston Salem, NC) and Eye Care Associates Of Co LLC (Centennial, CO). 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 Kaajal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaajal Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 11 other insurers list Kaajal 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 Kaajal Patel was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.