PARUL PATEL MD
NPI 1528262870
Internal Medicine - Nephrology in San Francisco, CA

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment
1100 VAN NESS AVE, SAN FRANCISCO, CA 94109(415) 600-1070(415) 558-7051 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 8, 2021, Apr 22, 2020 (2 updates tracked since 2020).

About Parul Patel Md NPPES

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

PARUL PATEL MD (NPI 1528262870) is an individual nephrology provider in San Francisco, California, licensed in California (A98915) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Baylor College Of Medicine (1998).

NPPES Registry Identity

NPI1528262870
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NamePARUL PATELCredential: MD
Location Address1100 VAN NESS AVESan Francisco, CA 94109-6978
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (415) 600-1070 · Fax (415) 558-7051
Fax(415) 558-7051
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1998
Enumeration DateJune 12, 2007
Last NPPES UpdateFebruary 8, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
✔ NPI 1528262870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A98915
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1100 VAN NESS AVE, San Francisco, CA 94109

Secondary Practice Location 1

Location 12340 Clay St, 4th FloorSan Francisco, CA 94115-1932 · Phone (415) 600-3411

Other Identifiers 1

OtherA98915CA · State Medical License

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

Parul 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 ID8628044419
PECOS Enrollment IDI20070823000510, I20090731000215
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

2

Medicare enrollment records show Parul Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California and Nevada enrollments
  • Also billed through NPI 1013950807 (Nevada)
  • 4,479 clinicians in this Medicare group
Multi-Specialty
2720 LOW CT
Fairfield, CA 94534
  • Reassigned Medicare billing, California enrollment
  • 3,056 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.

Areas of Expertise CMS Part B claims 8

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 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.
275 services229 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.
228 services68 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
100 services82 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.
52 services19 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.
49 services46 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.
45 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94109 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 14

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
7 suppliers15 claims29 services$6.54 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims11 services$1.12 avg. paid by Medicare
Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers41 claims1,710 services$1.26 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
3 suppliers32 claims15,240 services$1.21 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
50 suppliers974 claims122,963 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
26 suppliers831 claims125,526 services$0.01 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 20

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

Physician Assistant
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Registered Nurse (Critical Care Medicine)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Obstetrics & Gynecology
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Psychiatry & Neurology (Neurology)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Neurological Surgery
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Radiology (Vascular & Interventional Radiology)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Physical Medicine & Rehabilitation
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
Nurse Practitioner (Family)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109

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 Parul Patel's NPI number?

The NPI number for Parul Patel is 1528262870. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Parul Patel located?

Parul Patel practices at 1100 Van Ness Ave, San Francisco, CA 94109. The listed phone number is (415) 600-1070.

What is Parul Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Parul Patel enrolled in Medicare?

Yes. Parul 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 Parul Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Parul Patel reassigns Medicare benefits to 2 organizations: Sutter Bay Medical Foundation (Orinda, CA) and Sutter Valley Medical Foundation (Fairfield, 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 Parul 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 Parul Patel was last updated on February 8, 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.