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KUMAR R PATEL MD
NPI 1720198393
Allergy & Immunology in Tarentum, PA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
14.25/100
CMS Quality Rating
301 E 5TH AVE, TARENTUM, PA 15084(724) 224-5440(724) 904-7634 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kumar R Patel Md NPPES

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

KUMAR R PATEL MD (NPI 1720198393) is an individual allergy & immunology provider in Tarentum, Pennsylvania, licensed in West Virginia (20636) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Steubenville, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1996).

NPPES Registry Identity

NPI1720198393
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameKUMAR R PATELCredential: MD
Location Address301 E 5TH AVETarentum, PA 15084-1861
Mailing Address301 E 5th AveTarentum, PA 15084-1861 · (724) 224-5440 · Fax (724) 904-7634
Phone(724) 224-5440
Fax(724) 904-7634
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1996
Enumeration DateAugust 30, 2006
Last NPPES UpdateDecember 13, 2024
NPPES CertifiedDecember 13, 2024
✔ NPI 1720198393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in WV · 20636
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
301 E 5TH AVE, Tarentum, PA 15084
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Secondary Practice Location 1

Location 1340 S Hollywood BlvdSteubenville, OH 43952-2477 · Phone (724) 224-5440

Other Identifiers 2

Medicaid1840069000WV
Medicaid2272222OH

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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kumar R 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.

PECOS PAC ID6305815507
PECOS Enrollment IDI20040924000763, I20110105000843, I20110106000060
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 Kumar Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kumar Patel MD LLC
Allergy & Immunology
301 FIFTH AVE #100
Tarentum, PA 15084
  • Reassigned Medicare billing, Ohio, Pennsylvania and West Virginia enrollments
  • 2 clinicians in this Medicare group
NPI 1538474234 (724) 224-5440

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 10

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
7,510 services181 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
3,201 services193 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
2,059 services43 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
509 services43 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.
284 services175 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
37 services35 patients

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.

14.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost47.53

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.

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers12 claims3,128 services$0.03 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

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

CAROL E BRAND MD
Pediatrics
301 E 5TH AVE
TARENTUM, PA 15084
Allegheny County (724) 226-4971

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 Kumar Patel's NPI number?

The NPI number for Kumar Patel is 1720198393. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Kumar Patel located?

Kumar Patel practices at 301 E 5th Ave, Tarentum, PA 15084. The listed phone number is (724) 224-5440.

What is Kumar Patel's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Kumar Patel enrolled in Medicare?

Yes. Kumar 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 Kumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kumar Patel reassigns Medicare benefits to Kumar Patel MD LLC (Tarentum, PA). 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 Kumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kumar Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource and 2 other insurers list Kumar 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.

When was this NPI record last updated?

The NPPES record for Kumar Patel was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.