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DR. KUMASH PATEL MD
NPI 1548298425
Surgery in Glendale, AZ

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
87.81/100
CMS Quality Rating
5757 W THUNDERBIRD RD, SUITE E-456, GLENDALE, AZ 85306(602) 865-4570(602) 865-4575 Get Directions Write a Review

NPPES record last updated: December 2, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kumash Patel Md NPPES

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

DR. KUMASH PATEL MD (NPI 1548298425) is an individual surgery provider in Glendale, Arizona, licensed in Arizona (35096) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1548298425
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KUMASH PATELCredential: MD
Location Address5757 W THUNDERBIRD RD, SUITE E-456Glendale, AZ 85306-4641
Mailing Address5757 W Thunderbird Rd, Suite E-456Glendale, AZ 85306-4641 · (602) 865-4570 · Fax (602) 865-4575
Phone(602) 865-4570
Fax(602) 865-4575
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJune 29, 2006
Last NPPES UpdateDecember 2, 2015
✔ NPI 1548298425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AZ · 35096
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 35096 (AZ)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 35096 (AZ)
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 35096 (AZ)
5757 W THUNDERBIRD RD, Glendale, AZ 85306
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Other Identifiers 5

Medicare PINZ109125AZ
Medicare PINZ130217AZ
Medicaid093479AZ
Medicare UPINI37532
Medicare PINZ130218AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.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. Kumash 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 ID6901836741
PECOS Enrollment IDI20060411000120
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 4

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.

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.
30 services30 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.
20 services15 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
19 services19 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85306 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost61.22

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.

CHILDREN'S MEDICAL GROUP, LTD
Pediatrics
5757 W THUNDERBIRD RD, E 255
GLENDALE, AZ 85306
Maricopa County (602) 843-4149
DR. CARY J COLTER M.D.
Anesthesiology
5757 W THUNDERBIRD RD, SUITE W-400
GLENDALE, AZ 85306
Maricopa County (602) 547-1400
SIVAKAMI BRENDA MOORTHY DO
Surgery (Surgical Oncology)
5757 W THUNDERBIRD RD, E351
GLENDALE, AZ 85306
Maricopa County (602) 374-3440
DESERT HAND THERAPY LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
5757 W THUNDERBIRD RD, 465
GLENDALE, AZ 85306
Maricopa County (602) 843-9945
DHT HAND THERAPY LIMITED PARTNERSHIP
Occupational Therapist
5757 W THUNDERBIRD RD, SUITE E-465
GLENDALE, AZ 85306
Maricopa County (602) 843-9945
TBIRD HOSPITALIST GROUP, LLC
Internal Medicine
5757 W THUNDERBIRD RD, SUITE E-155
GLENDALE, AZ 85306
Maricopa County (602) 548-9700
DAVID BLIKLEN, M.D., P.C.
Psychiatry & Neurology (Psychiatry)
5757 W THUNDERBIRD RD, SUITE E151
GLENDALE, AZ 85306
Maricopa County (602) 843-3811
DR. KEVIN DOYLE CARTER M.D.
Anesthesiology
5757 W THUNDERBIRD RD, SUITE W-400
GLENDALE, AZ 85306
Maricopa County (602) 547-1400

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 Kumash Patel's NPI number?

The NPI number for Kumash Patel is 1548298425. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Kumash Patel located?

Kumash Patel practices at 5757 W Thunderbird Rd Suite E-456, Glendale, AZ 85306. The listed phone number is (602) 865-4570.

What is Kumash Patel's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kumash Patel enrolled in Medicare?

Yes. Kumash 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 Kumash Patel accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Kumash 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 Kumash Patel was last updated on December 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.