KISHOR D PATEL M.D.
NPI 1972573426
Pediatrics in Tyrone, PA

Active since January 26, 2006PECOS Enrolled
225 HOSPITAL DR, TYRONE, PA 16686(814) 684-3101(814) 684-5539 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kishor D Patel M.d. NPPES

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

KISHOR D PATEL M.D. (NPI 1972573426) is an individual pediatrics provider in Tyrone, Pennsylvania, licensed in Pennsylvania (MD046182L) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972573426
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKISHOR D PATELCredential: M.D.
Location Address225 HOSPITAL DRTyrone, PA 16686-1802
Mailing Address225 Hospital DrTyrone, PA 16686-1802 · (814) 684-3101 · Fax (814) 684-5539
Fax(814) 684-5539
Sole ProprietorNo
Enumeration DateJanuary 26, 2006
Last NPPES UpdateJanuary 27, 2016
✔ NPI 1972573426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD046182L
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
225 HOSPITAL DR, Tyrone, PA 16686

Other Identifiers 2

Medicaid0012958790003PA
Medicare UPINH55048PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kishor D Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kishor Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health
221 HOSPITAL DR STE 6
Tyrone, PA 16686
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16686 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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 3

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

Family Medicine
225 HOSPITAL DR
TYRONE, PA 16686
Non-Pharmacy Dispensing Site
225 HOSPITAL DR
TYRONE, PA 16686
Clinic/Center (Critical Access Hospital)
225 HOSPITAL DR
TYRONE, PA 16686

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 Kishor Patel's NPI number?

The NPI number for Kishor Patel is 1972573426. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Kishor Patel located?

Kishor Patel practices at 225 Hospital Dr, Tyrone, PA 16686. The listed phone number is (814) 684-3101.

What is Kishor Patel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kishor Patel enrolled in Medicare?

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

Which organization bills Medicare for Kishor Patel's services?

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

When was this NPI record last updated?

The NPPES record for Kishor Patel was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.