KOMAL PARIKH MD
NPI 1861812141
Internal Medicine - Critical Care Medicine in Gastonia, NC

Active since April 24, 2014PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
2525 COURT DR, GASTONIA, NC 28054(980) 834-5864 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 19, 2024, Dec 11, 2024, Jul 15, 2024 and 15 more (18 updates tracked since 2019).

About Komal Parikh Md NPPES

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

KOMAL PARIKH MD (NPI 1861812141) is an individual critical care medicine provider in Gastonia, North Carolina, licensed in North Carolina (2017-02379) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861812141
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameKOMAL PARIKHCredential: MD
Location Address2525 COURT DRGastonia, NC 28054-2140
Mailing AddressPo Box 744786Atlanta, GA 30374-4786
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 24, 2014
Last NPPES UpdateDecember 19, 202418 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
NPI 1861812141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in NC · 2017-02379
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2017-02379 (NC)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 2017-02379 (NC)
2525 COURT DR, Gastonia, NC 28054

Secondary Practice Locations 2

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-4490
Location 2304 Turner McCall Blvd SWRome, GA 30165-5621 · Phone (706) 509-5000

Accepted Insurance

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

Komal Parikh 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 ID5193023778
PECOS Enrollment IDI20180209002142
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 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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
87 services42 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.
55 services41 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.
41 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
29 services21 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
26 services26 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers20 claims20 services$66.68 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers15 claims15 services$20.44 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers12 claims12 services$18.95 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers22 claims107 services$2.92 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
3 suppliers33 claims33 services$15.94 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers48 claims48 services$47.68 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 20

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

Emergency Medicine
2525 COURT DR
GASTONIA, NC 28054
Physician Assistant
2525 COURT DR
GASTONIA, NC 28054
Nurse Anesthetist, Certified Registered
2525 COURT DR
GASTONIA, NC 28054
General Acute Care Hospital
2525 COURT DR
GASTONIA, NC 28054
Anesthesiology
2525 COURT DR
GASTONIA, NC 28054
Internal Medicine
2525 COURT DR
GASTONIA, NC 28054
Nurse Practitioner (Family)
2525 COURT DR
GASTONIA, NC 28054
Nurse Practitioner (Acute Care)
2525 COURT DR
GASTONIA, NC 28054

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 Komal Parikh's NPI number?

The NPI number for Komal Parikh is 1861812141. It was assigned to this individual provider in the NPPES registry on April 24, 2014.

Where is Komal Parikh located?

Komal Parikh practices at 2525 Court Dr, Gastonia, NC 28054. The listed phone number is (980) 834-5864.

What is Komal Parikh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Komal Parikh enrolled in Medicare?

Yes. Komal Parikh 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.

What insurance does Komal Parikh accept?

Health plans from UnitedHealthcare list Komal Parikh 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 Komal Parikh affiliated with any hospitals?

According to CMS data, Komal Parikh is affiliated with Caromont Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Komal Parikh was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.