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KETUL PATEL DO
NPI 1861075293
Hospitalist in Wilkes Barre, PA

Active since May 03, 2021PECOS Enrolled
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711(570) 808-7399(570) 808-5942 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2021, May 3, 2021 (2 updates tracked since 2021).

About Ketul Patel Do NPPES

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

KETUL PATEL DO (NPI 1861075293) is an individual hospitalist provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (OS023465) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Geisinger Wyoming Valley Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2021).

NPPES Registry Identity

NPI1861075293
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameKETUL PATELCredential: DO
Location Address1000 E MOUNTAIN DRWilkes Barre, PA 18711-0027
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 808-7399 · Fax (570) 808-5942
Phone(570) 808-7399
Fax(570) 808-5942
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2021
Enumeration DateMay 3, 2021
Last NPPES UpdateOctober 1, 20252 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1861075293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · OS023465
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1000 E MOUNTAIN DR, Wilkes Barre, PA 18711
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ketul Patel Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759824246
PECOS Enrollment IDI20251112004086
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.

Hospital Affiliations CMS Care Compare

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

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

DR. PAUL ANTHONY ARKLESS M.D.
Internal Medicine (Pulmonary Disease)
1000 E MOUNTAIN DR, PULMONARY DEPARTMENT
WILKES BARRE, PA 18711
Luzerne County (570) 808-5770
DR. JEEWENDRA DULAL M.D.
Hospitalist
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7399
DR. DANIEL GOLTZ D.O
Emergency Medicine
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7762
JULIA CHRISTINA D'SOUZA MD MTR
Radiology (Vascular & Interventional Radiology)
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7779
VRUNDA MANGAROLIYA MD
Hospitalist
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7399
BARRY LEE GREEN DO
Obstetrics & Gynecology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7916
HALEEMA SAJID M.D.
Obstetrics & Gynecology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7916
MEENAKSHI DAVULURI M.D.
Urology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7850

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 Ketul Patel's NPI number?

The NPI number for Ketul Patel is 1861075293. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Where is Ketul Patel located?

Ketul Patel practices at 1000 E Mountain Dr, Wilkes Barre, PA 18711. The listed phone number is (570) 808-7399.

What is Ketul Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ketul Patel enrolled in Medicare?

Yes. Ketul Patel is registered in the Medicare PECOS enrollment system.

What insurance does Ketul Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ketul 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 Ketul Patel affiliated with any hospitals?

According to CMS data, Ketul Patel is affiliated with Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Ketul Patel was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.