Individual provider Active NPI

Kiran Roshan Patel, M.D.

  • Diagnostic Radiology Physician
  • Oceanside, CA
National Provider Identifier
1245491208
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
PENDING Issued in MD
Practice address
3156 Vista Way
Suite 100
Oceanside, CA 92056-3622
Phone
(760) 547-8000
Fax
(760) 547-8001
NPI assigned
Jun 23, 2008
Last updated
Feb 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X PENDING MD Primary

Addresses

Primary practice location

3156 Vista Way
Suite 100
Oceanside, CA 92056-3622

Mailing address

330 Mount Auburn St
Cambridge, MA 02138-5502
Phone (617) 492-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109001267 CA Practitioner - Diagnostic Radiology 2264500586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians
IHS Radiology Medical Group IncGroup PAC ID 1052622024, 65 clinicians

Practice addresses (Care Compare)

15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100

2125 Citracado Pkwy
Escondido, CA 92029-4159

4002 Vista Way
Oceanside, CA 92056-4506
Phone (858) 658-6500

9878 Carmel Mountain Rd
Suite B
San Diego, CA 92129-2893
Phone (858) 312-1440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
108529CAMDDentist
PENDINGMDMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arch Health Partners Family Medicine CurrentSince Feb 5, 2024 Accepting new patients
Scripps Health Current Accepting new patients
IHS Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Dec 17, 2023 Accepting new patients
Arch Health Partners, Inc Family Medicine CurrentSince Feb 5, 2024 Accepting new patients
Johns Hopkins University Diagnostic Radiology Past Accepting new patients
Palomar Health Past Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
North County Radiology Medical Group Diagnostic Radiology Past Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
Physicians Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients

Locations

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

555 E Valley Pkwy
Escondido, CA 92025
Phone (760) 739-3000

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

1801 W Olympic Blvd
Pasadena, CA 91199

1801 W Olympic Blvd
#1313
Pasadena, CA 91199

15611 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

15611 Pomerado Rd
Ste 525
Poway, CA 92064
Phone (619) 287-9334

150 W Washington St
San Diego, CA 92103
Phone (619) 295-9729

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kiran.patel.p1@direct.arch.nextgenshare.com
  • Direct secure messaging: kpatel81434@scrippshlth.medalliesdirect.net

Organizations & group practices 10

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

Hospital & facility affiliations 5

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1245491208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MOUNT AUBURN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385502",
            "telephone_number": "617-492-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 VISTA WAY",
            "address_2": "SUITE 100",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563622",
            "telephone_number": "760-547-8000",
            "fax_number": "760-547-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KIRAN",
        "middle_name": "ROSHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.