Active NPI
Krunal S. Patel, DO
- Nephrology Physician
- Wailuku, HI
National Provider Identifier
1255909495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- DOS-2963-0
- Practice address
- 105 Maui Lani Pkwy Ste 100
Wailuku, HI 96793-2443 - Phone
- (808) 442-7777
- Fax
- (808) 442-7778
- NPI assigned
- Jun 14, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | DOS-2963-0 | HI | Primary |
| Internal Medicine Physician | 207R00000X | DOS-2963-0 | HI |
Addresses
Primary practice location
105 Maui Lani Pkwy Ste 100
Wailuku, HI 96793-2443
Mailing address
PO Box 3068
Portland, OR 97208-3068
Phone (503) 229-7976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014734 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- 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
- Nephrology
- Education
- Nova Southeastern College of Osteo Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1130 NW 22ND Ave
Suite 640
Portland, OR 97210-2993
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL83610 | SC | MD | Internal Medicine Physician |
| DOS-2963-0 | HI | MD | Nephrology Physician |
Interoperability endpoints
- kpatel1157955@direct.unc.nchie.net
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255909495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3068",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083068",
"telephone_number": "503-229-7976",
"fax_number": "503-274-4867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MAUI LANI PKWY STE 100",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932443",
"telephone_number": "808-442-7777",
"fax_number": "808-442-7778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KRUNAL",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-14",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "HI",
"license": "DOS-2963-0",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "DOS-2963-0",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014734",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.