KINJALBEN PATEL DO
NPI 1578090809
Internal Medicine in Harrisburg, PA

Active since May 17, 2017PECOS EnrolledAccepts Medicare Assignment
86.18/100
CMS Quality Rating
111 S FRONT ST, HARRISBURG, PA 17101(717) 231-8900(717) 231-8435 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2022, Sep 14, 2022, Sep 14, 2020 and 1 more (4 updates tracked since 2017).

About Kinjalben Patel Do NPPES

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

KINJALBEN PATEL DO (NPI 1578090809) is an individual internal medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (OS020661) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and maintains a secondary practice location in Jefferson Hills.

NPPES Registry Identity

NPI1578090809
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKINJALBEN PATELCredential: DO
Location Address111 S FRONT STHarrisburg, PA 17101-2010
Mailing Address320 E North AvePittsburgh, PA 15212-4756 · (412) 359-4971
Fax(717) 231-8435
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2017
Enumeration DateMay 17, 2017
Last NPPES UpdateDecember 20, 20224 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
NPI 1578090809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · OS020661
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
111 S FRONT ST, Harrisburg, PA 17101

Secondary Practice Location 1

Location 1565 Coal Valley RdJefferson Hills, PA 15025-3703 · Phone (412) 267-6810 · Fax (412) 267-6817

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

Kinjalben Patel Do 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 ID5294091039
PECOS Enrollment IDI20200921000287
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 3

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.

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.
62 services38 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
31 services31 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.
22 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17101 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

86.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.53
Improvement Activities40
Cost65.62

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.

Emergency Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Family Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Nurse Anesthetist, Certified Registered
111 S FRONT ST
HARRISBURG, PA 17101
Nurse Anesthetist, Certified Registered
111 S FRONT ST
HARRISBURG, PA 17101
Internal Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dietitian, Registered
111 S FRONT ST
HARRISBURG, PA 17101
Student in an Organized Health Care Education/Training Program
111 S FRONT ST
HARRISBURG, PA 17101
Nurse Practitioner (Family)
111 S FRONT ST
HARRISBURG, PA 17101

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 Kinjalben Patel's NPI number?

The NPI number for Kinjalben Patel is 1578090809. It was assigned to this individual provider in the NPPES registry on May 17, 2017.

Where is Kinjalben Patel located?

Kinjalben Patel practices at 111 S Front St, Harrisburg, PA 17101. The listed phone number is (717) 231-8900.

What is Kinjalben Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kinjalben Patel enrolled in Medicare?

Yes. Kinjalben 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 Kinjalben Patel affiliated with any hospitals?

According to CMS data, Kinjalben Patel is affiliated with Upmc Carlisle and Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Kinjalben Patel was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.