Kruti Patel, M.D.
Individual provider Active NPI Family Medicine Physician · Burlington, KY
NPI 1073877205 · NPPES record last updated Sep 10, 2018
Key facts
- NPI
- 1073877205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 47286 (KY)
- Practice address
- 6159 1St Financial Dr
Burlington, KY 41005-7892 - Phone
- (859) 586-8200
- Fax
- (859) 586-8233
- NPI assigned
- Jul 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
300 Barnes Rd
Williamstown, KY 41097-9483
Phone (859) 824-8400
4900 Houston Rd
Florence, KY 41042-4824
Phone (859) 212-4625
6105 1St Financial Dr
Burlington, KY 41005-7892
Phone (859) 301-5901
PO Box
Suite 635283
Cincinnati, OH 45263-5283
Hospital & facility affiliations
- St Elizabeth Home Care
- St Elizabeth Edgewood
- St Elizabeth Florence
- The Jewish Hospital-Mercy Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140813002326 | KY | Practitioner - Family Practice | 5395962484 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47286 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Current |
Accepting new patients | |
| Summit Medical Group, Inc | Family Medicine | Current |
Accepting new patients |
Locations
6159 1st Financial Dr
Burlington, KY 41005
Phone (859) 301-9394
6105 1st Financial Dr
Burlington, KY 41005
Phone (859) 525-1846
334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- kpatel167127@direct-prd.stelizabeth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 47286 | KY | Yes |
Addresses
Primary practice location
6159 1St Financial Dr
Burlington, KY 41005-7892
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 586-8200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100308080 | Medicaid | KY |
NPI Registry JSON
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1073877205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-586-8200",
"fax_number": "859-586-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6159 1ST FINANCIAL DR",
"city": "BURLINGTON",
"state": "KY",
"postal_code": "410057892",
"telephone_number": "859-586-8200",
"fax_number": "859-586-8233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KRUTI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-03",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "47286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100308080",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, KY
- Haley Char Niederman
- Nky Early Intervention
- Jessica Noble
- Connor O'Gara
- Over the Top Transportation, LLC
- David Russell Payne
- Emily Pearson
- Pediatric Dental Center
- Physiatric Associates Inc
- Michael David Platt-Faulkner
All providers in Burlington, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.