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KULIN MAHENDRABHAI PATEL MD
NPI 1558987552
Family Medicine in Monroe, NC

Active since June 25, 2020PECOS EnrolledAccepts Medicare Assignment
80.62/100
CMS Quality Rating
1423 E FRANKLIN ST, STE D, MONROE, NC 28112(704) 289-6474 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2024, Jul 26, 2022, Jun 25, 2020 (3 updates tracked since 2020).

About Kulin Mahendrabhai Patel Md NPPES

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

KULIN MAHENDRABHAI PATEL MD (NPI 1558987552) is an individual family medicine provider in Monroe, North Carolina, licensed in North Carolina (2023-02298) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Anson, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1558987552
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKULIN MAHENDRABHAI PATELCredential: MD
Location Address1423 E FRANKLIN ST, STE DMonroe, NC 28112-5266
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 289-6474
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 25, 2020
Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1558987552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2023-02298
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1423 E FRANKLIN ST, Monroe, NC 28112
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Kulin Mahendrabhai 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 ID2567886591
PECOS Enrollment IDI20240222000036
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 6

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.
153 services91 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.
85 services78 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.
27 services27 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
24 services21 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Atrium Health Anson

Acute Care Hospitals · Wadesboro, NC
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340084
Location2301 Us Highway 74 WestWadesboro, NC 28170 · Anson County
Emergency services

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28112 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
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.

80.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.06
Promoting Interoperability80
Improvement Activities40
Cost63.03

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.

BROWNS WOMENS CARE PA
Obstetrics & Gynecology
1423 E FRANKLIN ST, SUITE I
MONROE, NC 28112
Union County (704) 288-4650
EDWARD BIRCH BOWER MD
Surgery
1423 E FRANKLIN ST, STE B
MONROE, NC 28112
Union County (704) 290-5020
KRYSTA COURTNEY BRAGG FNP
Nurse Practitioner (Family)
1423 E FRANKLIN ST, STE D
MONROE, NC 28112
Union County (704) 289-6474
GERHARDT JULIUS WINKEL III MD
Surgery
1423 E FRANKLIN ST, STE B
MONROE, NC 28112
Union County (704) 290-5020
MID-CAROLINA NEUROLOGY, P.A.
Psychiatry & Neurology (Neurology)
1423 E FRANKLIN ST, SUITE A
MONROE, NC 28112
Union County (704) 291-2500
BRAD JOSEPH BISSELL MD
Emergency Medicine
1423 E FRANKLIN ST, STE B
MONROE, NC 28112
Union County (704) 290-5020
CAROLINAS PHYSICIANS NETWORK INC
Family Medicine
1423 E FRANKLIN ST, SUITE F
MONROE, NC 28112
Union County (704) 667-1270
HARSHA G NAGARAJA MD
Psychiatry & Neurology (Neurology)
1423 E FRANKLIN ST, STE I
MONROE, NC 28112
Union County (800) 230-1721

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 Kulin Patel's NPI number?

The NPI number for Kulin Patel is 1558987552. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Kulin Patel located?

Kulin Patel practices at 1423 E Franklin St Ste D, Monroe, NC 28112. The listed phone number is (704) 289-6474.

What is Kulin Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kulin Patel enrolled in Medicare?

Yes. Kulin 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 Kulin Patel accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Kulin 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 Kulin Patel affiliated with any hospitals?

According to CMS data, Kulin Patel is affiliated with Atrium Health Anson, Carolinas Medical Center/Behav Health and Atrium Health Union.

When was this NPI record last updated?

The NPPES record for Kulin Patel was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.