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DR. KRISHNA KILACHAND PATEL OD
NPI 1982250627
Optometrist in Franklin Park, NJ

Active since August 16, 2019PECOS Enrolled
3391 NJ-27, FRANKLIN PARK, NJ 08823(732) 940-0900 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 1, 2021, Aug 16, 2019 (2 updates tracked since 2019).

About Dr. Krishna Kilachand Patel Od NPPES

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

DR. KRISHNA KILACHAND PATEL OD (NPI 1982250627) is an individual optometrist in Franklin Park, New Jersey, licensed in New Jersey (27OA00691700) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982250627
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KRISHNA KILACHAND PATELCredential: OD
Location Address3391 NJ-27Franklin Park, NJ 08823
Mailing Address3391 Nj-27Franklin Park, NJ 08823 · (732) 940-0900
Phone(732) 940-0900
Sole ProprietorNo
Enumeration DateAugust 16, 2019
Last NPPES UpdateApril 1, 20212 updates tracked since enumeration
NPPES CertifiedMarch 8, 2021
✔ NPI 1982250627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NJ · 27OA00691700
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3391 NJ-27, Franklin Park, NJ 08823
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Krishna Kilachand Patel Od 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 Krishna Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charles M. Cummins, Od., PA
34 mi
Optometrist
1255 BROAD ST
Bloomfield, NJ 07003
  • Reassigned Medicare billing, New Jersey enrollment
  • 64 clinicians in this Medicare group
NPI 1598797722 (973) 338-7575

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 08823 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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 Krishna Patel's NPI number?

The NPI number for Krishna Patel is 1982250627. It was assigned to this individual provider in the NPPES registry on August 16, 2019.

Where is Krishna Patel located?

Krishna Patel practices at 3391 Nj-27, Franklin Park, NJ 08823. The listed phone number is (732) 940-0900.

What is Krishna Patel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Krishna Patel enrolled in Medicare?

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

Which organization bills Medicare for Krishna Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krishna Patel reassigns Medicare benefits to Charles M. Cummins, Od., PA (Bloomfield, NJ). 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 Krishna Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krishna Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Krishna 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.

When was this NPI record last updated?

The NPPES record for Krishna Patel was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.