DR. KALPESH C PATEL MD
NPI 1639185580
Radiology - Diagnostic Radiology in Phoenix, AZ
About Dr. Kalpesh C Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KALPESH C PATEL MD (NPI 1639185580) is an individual diagnostic radiology provider in Phoenix, Arizona, licensed in Arizona (36882) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hazard Arh Regional Medical Center, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 10
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kalpesh C 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.
Medicare Billing Reassignments
20Medicare enrollment records show Kalpesh Patel reassigns Medicare billing to 20 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sun City, AZ 85351
- Reassigned Medicare billing, Arizona enrollment
- 211 clinicians in this Medicare group
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 728 clinicians in this Medicare group
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 553 clinicians in this Medicare group
Scottsdale, AZ 85251
- Reassigned Medicare billing, Arizona enrollment
- 156 clinicians in this Medicare group
Mesa, AZ 85202
- Reassigned Medicare billing, Arizona enrollment
- 447 clinicians in this Medicare group
Gilbert, AZ 85234
- Reassigned Medicare billing, Arizona enrollment
- 41 clinicians in this Medicare group
Benson, AZ 85602
- Reassigned Medicare billing, Arizona enrollment
- 152 clinicians in this Medicare group
Willcox, AZ 85643
- Reassigned Medicare billing, Arizona enrollment
- 42 clinicians in this Medicare group
Palm Desert, CA 92260
- Reassigned Medicare billing, Arizona and California enrollments
- 24 clinicians in this Medicare group
Menifee, CA 92584
- Reassigned Medicare billing, Arizona and California enrollments
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 59
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hazard Arh Regional Medical Center
Acute Care Hospitals · Hazard, KYHarlan Arh Hospital
Acute Care Hospitals · Harlan, KYSumma Western Reserve Hospital
Acute Care Hospitals · Cuyahoga Falls, OHUniversity Health System
Acute Care Hospitals · San Antonio, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
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 Kalpesh Patel's NPI number?
The NPI number for Kalpesh Patel is 1639185580. It was assigned to this individual provider in the NPPES registry on July 31, 2006.
Where is Kalpesh Patel located?
Kalpesh Patel practices at 19829 N 27th Ave, Phoenix, AZ 85027. The listed phone number is (623) 879-5720.
What is Kalpesh Patel's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Kalpesh Patel enrolled in Medicare?
Yes. Kalpesh 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.
Which organizations bill Medicare for Kalpesh Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kalpesh Patel reassigns Medicare benefits to 20 organizations: Banner Imaging Services LLC (Sun City, AZ), Banner - University Hospital Based Physicians LLC (Phoenix, AZ), Banner - University Physician Specialists LLC (Phoenix, AZ), Southwest Diagnostic Imaging LLC (Scottsdale, AZ), Sonoran Radiology Ltd (Mesa, AZ) and 15 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kalpesh Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kalpesh Patel accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, CareSource, Cigna Healthcare and Imperial Insurance Companies, Inc. and 1 other insurer list Kalpesh 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 Kalpesh Patel affiliated with any hospitals?
According to CMS data, Kalpesh Patel is affiliated with Hazard Arh Regional Medical Center, Harlan Arh Hospital, Summa Western Reserve Hospital and University Health System.
When was this NPI record last updated?
The NPPES record for Kalpesh Patel was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.