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KINJAL PATEL PA-C
NPI 1558554428
Physician Assistant in Blandon, PA

Active since August 23, 2007PECOS EnrolledAccepts Medicare Assignment
72.49/100
CMS Quality Rating
108 PLAZA DRIVE, SUITE 100, BLANDON, PA 19510(610) 208-4650(610) 916-2787 Get Directions Write a Review

NPPES record last updated: December 18, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kinjal Patel Pa-c NPPES

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

KINJAL PATEL PA-C (NPI 1558554428) is an individual physician assistant in Blandon, Pennsylvania, licensed in Pennsylvania (MA056120) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Penn State Health St. Joseph, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1558554428
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKINJAL PATELCredential: PA-C
Location Address108 PLAZA DRIVE, SUITE 100Blandon, PA 19510-9475
Mailing Address2500 Bernville RdReading, PA 19605-9453 · (610) 378-2000 · Fax (610) 378-2799
Phone(610) 208-4650
Fax(610) 916-2787
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 23, 2007
Last NPPES UpdateDecember 18, 2018
✔ NPI 1558554428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in PA · MA056120✔ Licensed in NJ · 25MP00183200
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
108 PLAZA DRIVE, Blandon, PA 19510
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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

Kinjal Patel Pa-c 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 ID7416040399
PECOS Enrollment IDI20131216000988
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 2

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 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.
49 services49 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19510 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

72.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality34.19
Promoting Interoperability85
Improvement Activities40
Cost75.19

Other Providers at the Same Location NPPES 2

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

ST. JOSEPH REGIONAL HEALTH NETWORK
Clinic/Center (Urgent Care)
108 PLAZA DRIVE
BLANDON, PA 19510
Berks County (610) 208-4650
BRANDI J LAFOUNTAIN CRNP
Nurse Practitioner (Family)
108 PLAZA DRIVE
BLANDON, PA 19510
Berks County (610) 208-4650

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 Kinjal Patel's NPI number?

The NPI number for Kinjal Patel is 1558554428. It was assigned to this individual provider in the NPPES registry on August 23, 2007.

Where is Kinjal Patel located?

Kinjal Patel practices at 108 Plaza Drive Suite 100, Blandon, PA 19510. The listed phone number is (610) 208-4650.

What is Kinjal Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kinjal Patel enrolled in Medicare?

Yes. Kinjal 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 Kinjal Patel affiliated with any hospitals?

According to CMS data, Kinjal Patel is affiliated with Penn State Health St. Joseph.

When was this NPI record last updated?

The NPPES record for Kinjal Patel was last updated on December 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.