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DR. KALPESHKUMAR R PATEL M.D.
NPI 1710182654
Internal Medicine in Cinnaminson, NJ

Active since June 20, 2007PECOS EnrolledAccepts Medicare Assignment
2800 ROUTE 130 N, SUITE 102, NEW ALBANY PROF BLDG, CINNAMINSON, NJ 08077(856) 303-8500(856) 303-8501 Get Directions Write a Review

NPPES record last updated: December 18, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kalpeshkumar R Patel M.d. NPPES

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

DR. KALPESHKUMAR R PATEL M.D. (NPI 1710182654) is an individual internal medicine provider in Cinnaminson, New Jersey, licensed in New Jersey (25MA08404600) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1710182654
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KALPESHKUMAR R PATELCredential: M.D.
Location Address2800 ROUTE 130 N, SUITE 102, NEW ALBANY PROF BLDGCinnaminson, NJ 08077-3035
Mailing Address2800 Route 130 N, Suite 102, New Albany Prof BldgCinnaminson, NJ 08077-3035 · (856) 303-8500 · Fax (856) 303-8501
Phone(856) 303-8500
Fax(856) 303-8501
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 20, 2007
Last NPPES UpdateDecember 18, 2008
✔ NPI 1710182654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08404600
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.
2800 ROUTE 130 N, Cinnaminson, NJ 08077
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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. Kalpeshkumar R 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 ID4284709049
PECOS Enrollment IDI20080814000036
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.

Medicare Billing Reassignment

Medicare enrollment records show Kalpeshkumar Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cinnaminson Primary Care LLC
Same address
Internal Medicine
2800 ROUTE 130 N, SUITE 102, NEW ALBANY PROF BLDG
Cinnaminson, NJ 08077
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1154567204 (856) 303-8500

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 8

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 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.
539 services179 patients
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.
109 services76 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
88 services88 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.
86 services86 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
75 services75 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Virtua Willingboro Hospital

Acute Care Hospitals · Willingboro, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310061
Location218A Sunset RoadWillingboro, NJ 08046 · Burlington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08077 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%2,680 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
8%1,462 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
46%1,462 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%1,462 patients1/55-star benchmark: 59%
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers17 claims26 services$4.85 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 6

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

REGIONAL RADIOLOGY LLC
Radiology (Diagnostic Radiology)
2800 ROUTE 130 N, SUITE 202
CINNAMINSON, NJ 08077
Burlington County (856) 786-7044
CINNAMINSON PRIMARY CARE LLC
Internal Medicine
2800 ROUTE 130 N, SUITE 102, NEW ALBANY PROF BLDG
CINNAMINSON, NJ 08077
Burlington County (856) 303-8500
SR CUSPAL HOLDINGS, LLC
Dentist
2800 ROUTE 130 N, SUITE 108
CINNAMINSON, NJ 08077
Burlington County (856) 786-1881
DHCC,LLC
Chiropractor
2800 ROUTE 130 N, SUITE 200
CINNAMINSON, NJ 08077
Burlington County (856) 786-2600
DM PEDIATRIC DENTISTRY LLC
Dentist (Pediatric Dentistry)
2800 ROUTE 130 N, SUITE 108
CINNAMINSON, NJ 08077
Burlington County (856) 786-1881
CINNAMINSON PRIMARY CARE
Clinic/Center (Urgent Care)
2800 ROUTE 130 N, SUITE 102, NEW ALBANY PROF BLDG
CINNAMINSON, NJ 08077
Burlington County (856) 303-8500

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 Kalpeshkumar Patel's NPI number?

The NPI number for Kalpeshkumar Patel is 1710182654. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is Kalpeshkumar Patel located?

Kalpeshkumar Patel practices at 2800 Route 130 N Suite 102, New Albany Prof Bldg, Cinnaminson, NJ 08077. The listed phone number is (856) 303-8500.

What is Kalpeshkumar Patel's specialty?

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

Is Kalpeshkumar Patel enrolled in Medicare?

Yes. Kalpeshkumar 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 organization bills Medicare for Kalpeshkumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kalpeshkumar Patel reassigns Medicare benefits to Cinnaminson Primary Care LLC (Cinnaminson, NJ). The 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 Kalpeshkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kalpeshkumar Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Kalpeshkumar 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 Kalpeshkumar Patel affiliated with any hospitals?

According to CMS data, Kalpeshkumar Patel is affiliated with West Jersey Hospital, Virtua Our Lady Of Lourdes Hospital, Virtua Mount Holly Hospital and Virtua Willingboro Hospital.

When was this NPI record last updated?

The NPPES record for Kalpeshkumar Patel was last updated on December 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.