Individual provider Active NPI

Kevin Patel

  • Foot & Ankle Surgery Podiatrist
  • Greensboro, NC
National Provider Identifier
1134570773
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
745 Issued in NC
Practice address
2001 N Church St
Greensboro, NC 27405-5633
Phone
(336) 375-6990
Fax
(336) 375-0361
NPI assigned
Jun 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 745 NC
Foot Surgery Podiatrist 213ES0131X 745 NC
Foot & Ankle Surgery Podiatrist 213ES0103X 745 NC Primary

Addresses

Primary practice location

2001 N Church St
Greensboro, NC 27405-5633

Mailing address

2001 N Church St
Greensboro, NC 27405-5633
Phone (336) 375-6990

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kpatel568021@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200814001769 NC Practitioner - Podiatry 5395161848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Affiliated Physicians, Inc.Group PAC ID 3779635396, 80 clinicians

Practice addresses (Care Compare)

2001 N Church St
Greensboro, NC 27405-5633
Phone (336) 375-6990

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue32
Removal of skin lesions1-10
Removal of nail tissue151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
745NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Affiliated Physicians, Inc. Podiatrist CurrentSince Sep 1, 2020 Accepting new patients
Moses Cone Affiliated Physicians, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Moses Cone Affiliated Physicians, Inc Current Accepting new patients

Locations

1680 Westbrook Ave
Burlington, NC 27215
Phone (336) 387-8100

2001 N Church St
Greensboro, NC 27405
Phone (336) 375-6990

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1134570773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055633",
            "telephone_number": "336-375-6990",
            "fax_number": "336-375-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055633",
            "telephone_number": "336-375-6990",
            "fax_number": "336-375-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "745",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "745",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpatel568021@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2001 N Church St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274055633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.