DR. KALPESH G PATEL MD
NPI 1508285065
Internal Medicine - Gastroenterology in Concord, NC

Active since April 14, 2014PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1070 VINEHAVEN DR NE, CONCORD, NC 28025(704) 783-1840 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2023, Feb 22, 2021, Aug 18, 2020 (3 updates tracked since 2020).

About Dr. Kalpesh G Patel Md NPPES

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

DR. KALPESH G PATEL MD (NPI 1508285065) is an individual gastroenterology provider in Concord, North Carolina, licensed in North Carolina (2021-03299) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508285065
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. KALPESH G PATELCredential: MD
Location Address1070 VINEHAVEN DR NEConcord, NC 28025-2438
Mailing Address1070 Vinehaven Dr NeConcord, NC 28025-2438 · (704) 783-1840
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 14, 2014
Last NPPES UpdateMay 11, 20233 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
NPI 1508285065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in NC · 2021-03299 Licensed in NJ · 25MA10263400
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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA10263400 (NJ)
1070 VINEHAVEN DR NE, Concord, NC 28025

Secondary Practice Locations 2

Location 1222 Schanck Rd Ste 302Freehold, NJ 07728-2974 · Phone (732) 577-1999
Location 2150 Bergen StNewark, NJ 07103-2496 · Phone (973) 972-3129

Accepted 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

Dr. Kalpesh G 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 ID8820420599
PECOS Enrollment IDI20220201001446
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 11

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.

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.
56 services55 patients
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.
56 services43 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.
48 services47 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
48 services47 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.
33 services24 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.
32 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

Internal Medicine
1070 VINEHAVEN DR NE
CONCORD, NC 28025
Physician Assistant (Medical)
1070 VINEHAVEN DR NE
CONCORD, NC 28025
Clinic/Center (Endoscopy)
1070 VINEHAVEN DR NE
CONCORD, NC 28025
Physician Assistant
1070 VINEHAVEN DR NE
CONCORD, NC 28025
Internal Medicine (Gastroenterology)
1070 VINEHAVEN DR NE
CONCORD, NC 28025
Nurse Anesthetist, Certified Registered
1070 VINEHAVEN DR NE
CONCORD, NC 28025
Nurse Anesthetist, Certified Registered
1070 VINEHAVEN DR NE, DEPT OF ANESTHESIA
CONCORD, NC 28025
Physician Assistant (Medical)
1070 VINEHAVEN DR NE
CONCORD, NC 28025

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 Kalpesh Patel's NPI number?

The NPI number for Kalpesh Patel is 1508285065. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Kalpesh Patel located?

Kalpesh Patel practices at 1070 Vinehaven Dr NE, Concord, NC 28025. The listed phone number is (704) 783-1840.

What is Kalpesh Patel's specialty?

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

Is Kalpesh Patel enrolled in Medicare?

Yes. Kalpesh 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 Kalpesh Patel accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kalpesh 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 Kalpesh Patel affiliated with any hospitals?

According to CMS data, Kalpesh Patel is affiliated with Carolinas Medical Center-Northeast and Novant Health Rowan Medical Center.

When was this NPI record last updated?

The NPPES record for Kalpesh Patel was last updated on May 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.