Active NPI
Kunjan B Patel
- Otolaryngology Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 202401446
- Practice address
- 1002 N Church St Ste 100
Greensboro, NC 27401-1447 - Phone
- (336) 890-2215
- NPI assigned
- Apr 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 202401446 | NC | Primary |
Addresses
Primary practice location
1002 N Church St Ste 100
Greensboro, NC 27401-1447
Mailing address
300 E Wendover Ave
Greensboro, NC 27401-1229
Phone (336) 663-5220
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1002 N Church St
Suite 100
Greensboro, NC 27401-1447
Phone (336) 890-2210
Hospital & facility affiliations
- Moses H. Cone Memorial Hospital, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.12 of 100
- Quality
- 80.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202401446 | NC | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Cone Physician Services, Inc. | Current | Accepting new patients | |
| Moses Cone Physician Services Inc | Current | Accepting new patients | |
| Moses Cone Physician Services Inc | Past | Accepting new patients |
Locations
3824 N Elm St
Ste 201
Greensboro, NC 27455
Phone (336) 542-2015
301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200
1002 N Church St
Ste 100
Greensboro, NC 27401
Phone (336) 275-6600
300 E Wendover Ave
Fl 2
Greensboro, NC 27401
Phone (336) 663-5219
300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205
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.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1093953127
-
- Hospitalist Physician
- Greensboro, NC
- NPI 1326363383
-
- Endocrinology, Diabetes & Metabolism Physician
- Reidsville, NC
- NPI 1780004556
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1154884104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E WENDOVER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011229",
"telephone_number": "336-663-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 N CHURCH ST STE 100",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011447",
"telephone_number": "336-890-2215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KUNJAN",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-08",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NC",
"license": "202401446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.