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KARNA PATEL
NPI 1649590605
Family Medicine in Tampa, FL

Active since June 01, 2010PECOS EnrolledAccepts Medicare Assignment
13860 N DALE MABRY HWY, TAMPA, FL 33618(813) 844-4500 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2021, Mar 17, 2018, Jun 28, 2017 (3 updates tracked since 2017).

About Karna Patel NPPES

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

KARNA PATEL (NPI 1649590605) is an individual family medicine provider in Tampa, Florida, licensed in Florida (ME118383) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and maintains a secondary practice location in Grants.

NPPES Registry Identity

NPI1649590605
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKARNA PATEL
Location Address13860 N DALE MABRY HWYTampa, FL 33618-2420
Mailing AddressPo Box 1289Tampa, FL 33601-1289
Phone(813) 844-4500
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 1, 2010
Last NPPES UpdateJune 8, 20213 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
✔ NPI 1649590605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME118383✔ Licensed in NM · MD2009-0779
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.
13860 N DALE MABRY HWY, Tampa, FL 33618
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Secondary Practice Location 1

Location 11217 Bonita StGrants, NM 87020-2103 · Phone (505) 287-2950

Other Identifiers 1

Medicaid010885200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Karna 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 ID6709900681
PECOS Enrollment IDI20140404001212
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 4

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.
54 services27 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
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
16 services16 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33618 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
67%45 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
85%72 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier12 claims12 services$301.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. KERVIN DOCTOR M.D.
Family Medicine
13860 N DALE MABRY HWY
TAMPA, FL 33618
Hillsborough County (813) 844-4500
DR. RAYMOND ANTHONY PETRUS II D.O.
Family Medicine
13860 N DALE MABRY HWY
TAMPA, FL 33618
Hillsborough County (813) 844-4500
KIMBERLY FRACK MSN, APRN, FNP-C
Nurse Practitioner (Family)
13860 N DALE MABRY HWY
TAMPA, FL 33618
Hillsborough County (813) 844-4500
TAMPA GENERAL MEDICAL GROUP INC
Family Medicine
13860 N DALE MABRY HWY
TAMPA, FL 33618
Hillsborough County (813) 844-4500

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 Karna Patel's NPI number?

The NPI number for Karna Patel is 1649590605. It was assigned to this individual provider in the NPPES registry on June 1, 2010.

Where is Karna Patel located?

Karna Patel practices at 13860 N Dale Mabry Hwy, Tampa, FL 33618. The listed phone number is (813) 844-4500.

What is Karna Patel's specialty?

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

Is Karna Patel enrolled in Medicare?

Yes. Karna 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 Karna Patel accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 6 other insurers list Karna 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 Karna Patel affiliated with any hospitals?

According to CMS data, Karna Patel is affiliated with Tampa General Hospital.

When was this NPI record last updated?

The NPPES record for Karna Patel was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.