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

Q: 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.

Q: What is Kalpesh Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kalpesh Patel was last updated on May 11, 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.

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: October 18, 2026.

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

On this page

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

Phone(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

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Secondary Practice Locations 2

Location 1150 Bergen StNewark, NJ 07103-2496 · Phone (973) 972-3129

Location 2222 Schanck Rd Ste 302Freehold, NJ 07728-2974 · Phone (732) 577-1999

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.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. 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.

Medicare Billing Reassignments

Medicare enrollment records show Kalpesh Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cabarrus Gastroenterology Associates, PLLC

Same address

Gastroenterology

1070 VINEHAVEN DRIVE NE
Concord, NC 28025

Reassigned Medicare billing, North Carolina enrollment
Also billed through NPI 1861059172 (North Carolina)
58 clinicians in this Medicare group

NPI 1780790592 (704) 783-1840

Novant Health Rowan Endoscopy Center, LLC

13 mi

Endoscopy

510 CORPORATE CIR STE 1001
Salisbury, NC 28147

Reassigned Medicare billing, North Carolina enrollment
12 clinicians in this Medicare group

NPI 1982381976 (704) 783-1840

Allied Digestive Health, LLC

489 mi

Gastroenterology

187 ROUTE 36, MONMOUTH CORPORATE PARK CENTER I;BUILDING A, SUITE 230
West Long Beach, NJ 07764

Reassigned Medicare billing, New Jersey enrollment
406 clinicians in this Medicare group

NPI 1265831259 (732) 222-3805

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 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

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.

31 services31 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

25 services25 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

24 services24 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

21 services21 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.

15 services14 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

Quality

84.22

Promoting Interoperability

100

Improvement Activities

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.

DR. VINAY PATEL M.D.

Internal Medicine

1070 VINEHAVEN DR NE
CONCORD, NC 28025

Cabarrus County (704) 783-1840

KESHIA D WELLS PA

Physician Assistant (Medical)

1070 VINEHAVEN DR NE
CONCORD, NC 28025

Cabarrus County (704) 783-1840

CABARRUS GASTROENTEROLOGY ASSOCIATES, PLLC

Clinic/Center (Endoscopy)

1070 VINEHAVEN DR NE
CONCORD, NC 28025

Cabarrus County (704) 783-1840

AVA LYNN WARD PA-C

Physician Assistant

1070 VINEHAVEN DR NE
CONCORD, NC 28025

Cabarrus County (704) 783-1845

SHIVA POOLA MD

Internal Medicine (Gastroenterology)

1070 VINEHAVEN DR NE
CONCORD, NC 28025

Cabarrus County (704) 783-1840

RICHARD H BILLINGS CRNA

Nurse Anesthetist, Certified Registered

1070 VINEHAVEN DR NE
CONCORD, NC 28025

Cabarrus County (704) 783-1840

ELITE ANESTHESIA, P A

Nurse Anesthetist, Certified Registered

1070 VINEHAVEN DR NE, DEPT OF ANESTHESIA
CONCORD, NC 28025

Cabarrus County (704) 783-1840

MRS. KELSEY NORKETT TRULL PA

Physician Assistant (Medical)

1070 VINEHAVEN DR NE
CONCORD, NC 28025

Cabarrus County (704) 783-1840

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.

Which organizations bill Medicare for Kalpesh Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kalpesh Patel reassigns Medicare benefits to 3 organizations: Cabarrus Gastroenterology Associates, PLLC (Concord, NC), Novant Health Rowan Endoscopy Center, LLC (Salisbury, NC) and Allied Digestive Health, LLC (West Long Beach, NJ). 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 Kalpesh Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kalpesh Patel accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare 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 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.