KINNARESH SURESHBHAI PATEL MD
NPI 1942409073
Internal Medicine - Pulmonary Disease in Charlotte, NC

Active since July 18, 2007PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
101 E W T HARRIS BLVD, BLDG 5000 SUITE #5101, CHARLOTTE, NC 28262(704) 863-5847 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, Apr 6, 2022, Jan 5, 2022 and 47 more (50 updates tracked since 2017).

About Kinnaresh Sureshbhai Patel Md NPPES

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

KINNARESH SURESHBHAI PATEL MD (NPI 1942409073) is an individual pulmonary disease provider in Charlotte, North Carolina, licensed in North Carolina (2010-00117) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942409073
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameKINNARESH SURESHBHAI PATELCredential: MD
Location Address101 E W T HARRIS BLVD, BLDG 5000 SUITE #5101Charlotte, NC 28262-3485
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 18, 2007
Last NPPES UpdateJuly 15, 202450 updates tracked since enumeration
NPI 1942409073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NC · 2010-00117
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2010-00117 (NC)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 2010-00117 (NC)
101 E W T HARRIS BLVD, Charlotte, NC 28262

Secondary Practice Locations 2

Location 1500 Lauchwood DrLaurinburg, NC 28352-5501 · Phone (910) 291-6904
Location 21350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-4490

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

Kinnaresh Sureshbhai 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 ID4587715255
PECOS Enrollment IDI20110428000464
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 9

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.
90 services57 patients
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.
88 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.
58 services40 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
39 services39 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.
39 services39 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.
38 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 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 18

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers16 claims16 services$34.02 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
1 supplier11 claims11 services$78.76 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers12 claims25 services$29.56 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$51.27 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers16 claims16 services$16.20 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers25 claims117 services$1.82 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.

Internal Medicine (Pulmonary Disease)
101 E W T HARRIS BLVD, BLDG 5000 SUITE #5101
CHARLOTTE, NC 28262
Internal Medicine (Cardiovascular Disease)
101 E W T HARRIS BLVD, STE 1213
CHARLOTTE, NC 28262
Pediatrics
101 E W T HARRIS BLVD, STE 1121
CHARLOTTE, NC 28262
Pediatrics
101 E W T HARRIS BLVD, STE 1121
CHARLOTTE, NC 28262
Nurse Practitioner
101 E W T HARRIS BLVD
CHARLOTTE, NC 28262
Pediatrics
101 E W T HARRIS BLVD, SUITE 1121
CHARLOTTE, NC 28262
Internal Medicine (Hematology)
101 E W T HARRIS BLVD, STE 5500
CHARLOTTE, NC 28262
Obstetrics & Gynecology
101 E W T HARRIS BLVD, STE 2320
CHARLOTTE, NC 28262

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 Kinnaresh Patel's NPI number?

The NPI number for Kinnaresh Patel is 1942409073. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Where is Kinnaresh Patel located?

Kinnaresh Patel practices at 101 E W T Harris Blvd Bldg 5000 Suite #5101, Charlotte, NC 28262. The listed phone number is (704) 863-5847.

What is Kinnaresh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kinnaresh Patel enrolled in Medicare?

Yes. Kinnaresh 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 Kinnaresh Patel accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Kinnaresh 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 Kinnaresh Patel affiliated with any hospitals?

According to CMS data, Kinnaresh Patel is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Kinnaresh Patel was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.