RUPESH PATEL M.D.
NPI 1679968762
Radiology - Pediatric Radiology in Knoxville, TN

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
98.98/100
CMS Quality Rating
2001 LAUREL AVE, KNOXVILLE, TN 37916(865) 766-6870 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rupesh Patel M.d. NPPES

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

RUPESH PATEL M.D. (NPI 1679968762) is an individual pediatric radiology provider in Knoxville, Tennessee, licensed in Tennessee (63414) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Claiborne Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679968762
Entity TypeIndividualMale
Primary Taxonomy2085P0229X
Provider Legal NameRUPESH PATELCredential: M.D.
Location Address2001 LAUREL AVEKnoxville, TN 37916-1810
Mailing Address2001 Laurel Ave # N304Knoxville, TN 37916-1810 · (865) 766-6870
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2015
Enumeration DateApril 6, 2015
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
NPI 1679968762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
Licenses Licensed in TN · 63414 Licensed in MS · 24705
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 63414 (TN)
2001 LAUREL AVE, Knoxville, TN 37916

Secondary Practice Locations 2

Location 16025 Walnut Grove RdMemphis, TN 38120-2131 · Phone (901) 622-1514
Location 23333 Burnet AveCincinnati, OH 45229-3026 · Phone (513) 636-4200

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

Rupesh Patel M.d. 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 ID5193073898
PECOS Enrollment IDI20210609003294
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 35

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
364 services338 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
256 services256 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
255 services255 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
79 services77 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
74 services69 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
70 services70 patients

Hospital Affiliations CMS Care Compare 3

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

Claiborne Medical Center

Acute Care Hospitals · Tazewell, TN
OwnershipGovernment - Local
CMS Certification Number440057
Location1850 Old Knoxville HighwayTazewell, TN 37879 · Claiborne County
Emergency services

Starr Regional Medical Center Athens

Acute Care Hospitals · Athens, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440068
Location1114 W Madison AveAthens, TN 37371 · Mc Minn County
Emergency services Birthing friendly

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440125
Location1901 W Clinch AveKnoxville, TN 37916 · Knox County
Emergency services Birthing friendly

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.

98.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.8
Improvement Activities40

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.

Radiology (Vascular & Interventional Radiology)
2001 LAUREL AVE, SUITE N304
KNOXVILLE, TN 37916
Radiology (Neuroradiology)
2001 LAUREL AVE, SUITE N304
KNOXVILLE, TN 37916
Internal Medicine
2001 LAUREL AVE, SUITE 206
KNOXVILLE, TN 37916
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2001 LAUREL AVE, SUITE 201
KNOXVILLE, TN 37916
Orthopaedic Surgery
2001 LAUREL AVE, SUITE 402 NEWLAND PROFESSIONAL BLDG.
KNOXVILLE, TN 37916
Internal Medicine (Nephrology)
2001 LAUREL AVE, STE 206
KNOXVILLE, TN 37916
Radiology (Nuclear Radiology)
2001 LAUREL AVE, SUITE N304
KNOXVILLE, TN 37916
Nurse Practitioner
2001 LAUREL AVE, STE 204
KNOXVILLE, TN 37916

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 Rupesh Patel's NPI number?

The NPI number for Rupesh Patel is 1679968762. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Rupesh Patel located?

Rupesh Patel practices at 2001 Laurel Ave, Knoxville, TN 37916. The listed phone number is (865) 766-6870.

What is Rupesh Patel's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Rupesh Patel enrolled in Medicare?

Yes. Rupesh 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 Rupesh Patel affiliated with any hospitals?

According to CMS data, Rupesh Patel is affiliated with Claiborne Medical Center, Starr Regional Medical Center Athens and Fort Sanders Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rupesh Patel was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.