KUSH S PATEL
NPI 1548608565
Emergency Medicine - Sports Medicine in Sterling, VA

Active since June 12, 2013PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
46000 CENTER OAK PLZ STE 260, STERLING, VA 20166(703) 970-6464(703) 970-6468 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 22, 2023, Apr 7, 2022, Apr 15, 2021 and 5 more (8 updates tracked since 2016).

About Kush S Patel NPPES

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

KUSH S PATEL (NPI 1548608565) is an individual sports medicine provider in Sterling, Virginia, licensed in Virginia (0101278256) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548608565
Entity TypeIndividualMale
Primary Taxonomy207PS0010X
Provider Legal NameKUSH S PATEL
Location Address46000 CENTER OAK PLZ STE 260Sterling, VA 20166-8538
Mailing AddressPo Box 37189Baltimore, MD 21297-3189 · (571) 423-5699 · Fax (571) 423-5698
Fax(703) 970-6468
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 12, 2013
Last NPPES UpdateJune 22, 20238 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
NPI 1548608565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
License Licensed in VA · 0101278256
Definition

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD465726 (PA)
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X · License MD465726 (PA)
46000 CENTER OAK PLZ STE 260, Sterling, VA 20166

Secondary Practice Locations 2

Location 12005 Technology Pkwy Ste 100Mechanicsburg, PA 17050-9413 · Phone (717) 791-2620 · Fax (717) 791-2621
Location 2300 Bretz Ct Ste 100Newport, PA 17074-8615 · Phone (717) 652-9555 · Fax (717) 791-2621

Other Identifiers 1

Medicaid103549391PA

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

Kush S Patel 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 ID5890099097
PECOS Enrollment IDI20230726003196
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 14

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
447 services74 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.
123 services123 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.
109 services85 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
68 services32 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.
62 services49 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
53 services50 patients

Hospital Affiliations CMS Care Compare 3

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

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20166 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Other Providers at the Same Location NPPES

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

Orthopaedic Surgery
46000 CENTER OAK PLZ STE 260
STERLING, VA 20166

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 Kush Patel's NPI number?

The NPI number for Kush Patel is 1548608565. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Kush Patel located?

Kush Patel practices at 46000 Center Oak Plz Ste 260, Sterling, VA 20166. The listed phone number is (703) 970-6464.

What is Kush Patel's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

Is Kush Patel enrolled in Medicare?

Yes. Kush 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.

Is Kush Patel affiliated with any hospitals?

According to CMS data, Kush Patel is affiliated with Inova Loudoun Hospital, Inova Fair Oaks Hospital and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Kush Patel was last updated on June 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.