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KISHOR PATEL MD LLC
NPI 1710563028
Internal Medicine in Rocky River, OH

Active since March 18, 2021
21851 CENTER RIDGE RD, 405, ROCKY RIVER, OH 44116(440) 333-5822(440) 333-5824 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 26, 2021, Mar 18, 2021 (2 updates tracked since 2021).

About Kishor Patel Md Llc NPPES

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

KISHOR PATEL MD LLC (NPI 1710563028) is a healthcare organization registered as an internal medicine in Rocky River, Ohio and active in the NPI registry since March 2021. The organization lists Kishor Patel, Direct Owner, as its authorized official.

NPPES Registry Identity

NPI1710563028
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKISHOR PATEL MD LLC
Location Address21851 CENTER RIDGE RD, 405Rocky River, OH 44116-3976
Mailing Address21851 Center Ridge Rd, 405Rocky River, OH 44116-3976 · (440) 333-5822 · Fax (440) 333-5824
Phone(440) 333-5822
Fax(440) 333-5824
Organization SubpartNo
Authorized OfficialKishor PatelDirect Owner · (216) 262-2050
Enumeration DateMarch 18, 2021
Last NPPES UpdateSeptember 20, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2023
✔ NPI 1710563028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
21851 CENTER RIDGE RD, Rocky River, OH 44116
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Other Identifiers 1

Medicaid0814855OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kishor Patel Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOhioEnrollment IDO20220222001737Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kishor Patel MD LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kishor Patel, MD
Internal Medicine
NPI 1073613626
21851 CENTER RIDGE RD SUITE 405
Rocky River, OH 44116
(440) 333-5822
✔ PECOS✔ Accepts MedicareSame address
Mary Klecka, MD
Internal Medicine
NPI 1942564802
26908 DETROIT RD STE. 200
Westlake, OH 44145
(440) 250-8660
✔ PECOS✔ Accepts Medicare3.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kishor Patel MD LLC's NPI number?

The NPI number for Kishor Patel MD LLC is 1710563028. It was assigned to this organization in the NPPES registry on March 18, 2021.

Where is Kishor Patel MD LLC located?

Kishor Patel MD LLC is located at 21851 Center Ridge Rd 405, Rocky River, OH 44116. The listed phone number is (440) 333-5822.

What is Kishor Patel MD LLC's specialty?

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

Is Kishor Patel MD LLC enrolled in Medicare?

Yes. Kishor Patel MD LLC is registered in the Medicare PECOS enrollment system.

When is Kishor Patel MD LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kishor Patel MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Kishor Patel MD LLC. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kishor Patel MD LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Kishor Patel MD LLC 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.

When was this NPI record last updated?

The NPPES record for Kishor Patel MD LLC was last updated on September 20, 2023. 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.