KARAN HITEN PATEL M.D.
NPI 1861887473
Ophthalmology in Bellevue, WA

Q: What is Karan Patel's NPI number?

The NPI number for Karan Patel is 1861887473. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Q: What is Karan Patel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Karan Patel was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment

96.74/100

CMS Quality Rating

1417 116TH AVE NE, SUITE 208, BELLEVUE, WA 98004(425) 800-0393(425) 365-0600 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2025, Nov 6, 2021, Aug 10, 2021 and 2 more (5 updates tracked since 2019).

On this page

About Karan Hiten Patel M.d. NPPES

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

KARAN HITEN PATEL M.D. (NPI 1861887473) is an individual ophthalmology provider in Bellevue, Washington, licensed in Washington (MD.61394322) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2015).

NPPES Registry Identity

NPI1861887473

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameKARAN HITEN PATELCredential: M.D.

Location Address1417 116TH AVE NE, SUITE 208Bellevue, WA 98004-3830

Mailing Address1417 116th Ave Ne Ste 208Bellevue, WA 98004-3830 · (425) 800-0393 · Fax (425) 365-0600

Phone(425) 800-0393

Fax(425) 365-0600

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2015

Enumeration DateMarch 31, 2015

Last NPPES UpdateDecember 3, 20255 updates tracked since enumeration

NPPES CertifiedDecember 3, 2025

✔ NPI 1861887473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in WA · MD.61394322✔ Licensed in MI · 4301117497

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1417 116TH AVE NE, Bellevue, WA 98004

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Karan Hiten 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 ID8628386919

PECOS Enrollment IDI20230323002281

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 15

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 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.

302 services179 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

289 services278 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

159 services146 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

154 services148 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

113 services101 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

105 services105 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

89 services78 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

78 services49 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

72 services72 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

65 services42 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

36 services30 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

21 services18 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

20 services17 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

18 services13 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number500051

Location1035-116th Ave NEBellevue, WA 98004 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

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.

96.74/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.49

Improvement Activities

Other Providers at the Same Location NPPES 12

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

ALEXANDRA MARIE GOMEZ MS, CCC-SLP

Speech-Language Pathologist

1417 116TH AVE NE, SUITE 110
BELLEVUE, WA 98004

King County (425) 688-5900

MRS. KATHERINE ELAINE GOLIC P.T.

Physical Therapist

1417 116TH AVE NE, SUITE 110
BELLEVUE, WA 98004

King County (425) 688-5900

DIANE T. SPERRY PT

Physical Therapist

1417 116TH AVE NE, STE. 110
BELLEVUE, WA 98004

King County (425) 688-5900

LISA MARIE REHM PT, MSPT

Physical Therapist

1417 116TH AVE NE, SUITE 110
BELLEVUE, WA 98004

King County (425) 688-5902

SUGANYA KARTHIK M.A.CCC-SLP

Speech-Language Pathologist

1417 116TH AVE NE, STE. 110
BELLEVUE, WA 98004

King County (425) 467-3655

TOVE LISE SORENSEN PT

Physical Therapist

1417 116TH AVE NE, STE 110
BELLEVUE, WA 98004

King County (425) 688-5868

FARHA NOORMOHAMED MSCCC-SLP

Speech-Language Pathologist

1417 116TH AVE NE, SUITE 110
BELLEVUE, WA 98004

King County (425) 467-3655

ASSURED PHARMACIES NORTHWEST, LLC

Pharmacy (Community/Retail Pharmacy)

1417 116TH AVE NE, STE 204
BELLEVUE, WA 98004

King County (425) 820-1030

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 Karan Patel's NPI number?

The NPI number for Karan Patel is 1861887473. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Karan Patel located?

Karan Patel practices at 1417 116th Ave NE Suite 208, Bellevue, WA 98004. The listed phone number is (425) 800-0393.

What is Karan Patel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Karan Patel enrolled in Medicare?

Yes. Karan 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.

What insurance does Karan Patel accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Karan 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 Karan Patel affiliated with any hospitals?

According to CMS data, Karan Patel is affiliated with Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Karan Patel was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.