Individual provider Active NPI

Kush Kiran Patel, MD

  • Ophthalmology Physician
  • New Brunswick, NJ
National Provider Identifier
1275022535
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA11381500 Issued in NJ
Practice address
10 Plum St Ste 600
New Brunswick, NJ 08901-2065
Phone
(732) 220-1600
NPI assigned
May 2, 2018
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA11381500 NJ Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 0101281183 VA

Addresses

Primary practice location

10 Plum St Ste 600
New Brunswick, NJ 08901-2065

Mailing address

10 Plum St Ste 600
New Brunswick, NJ 08901-2065
Phone (732) 220-1600

Other practice location 1

6565 Arlington Blvd Ste 400
Falls Church, VA 22042-3021
Phone (703) 288-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240717001897 DC Practitioner - Ophthalmology 6608102637 Reassigns benefits to 2 organizations
I20240723000572 VA Practitioner - Ophthalmology 6608102637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Retina SpecialistsGroup PAC ID 0446558183, 5 clinicians
James W Mattern OD, PLLCGroup PAC ID 6800262833, 6 clinicians

Practice addresses (Care Compare)

1850 Town Ctr Pkwy
Reston, VA 20190-3300
Phone (703) 435-8400

3025 Hamaker CT
Suite 101
Fairfax, VA 22031-2229
Phone (703) 876-9630

4565 Daisy Reid Ave
Suite 300
Woodbridge, VA 22192-5671
Phone (571) 529-5022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
95.9
Promoting interoperability
100
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11381500NJMDOphthalmology Physician
0101281183VAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Eye Consultants, P.C. Ophthalmology Current Accepting new patients
James W Mattern OD, PLLC Ophthalmology CurrentSince Dec 1, 2024 Accepting new patients
Virginia Retina Specialists Ophthalmology CurrentSince Aug 12, 2024 Accepting new patients

Locations

3025 Hamaker Ct
Ste 101
Fairfax, VA 22031
Phone (703) 876-9630

3975 Fair Ridge Dr
Ste N200
Fairfax, VA 22033
Phone (703) 289-0443

6565 Arlington Blvd
Ste 400
Falls Church, VA 22042
Phone (703) 288-9001

1850 Town Center Pkwy
Ste 564
Reston, VA 20190
Phone (703) 435-8400

4565 Daisy Reid Ave
Ste 300
Woodbridge, VA 22192
Phone (571) 529-5022

Interoperability endpoints

  • Direct secure messaging: kpatel@arcnj.intellechartdirect.net
  • Direct secure messaging: kpatel@capitaleyeconsultants.intellechartdirect.net
  • Direct secure messaging: kpatel@varetinaspecialists.intellechartdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1275022535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PLUM ST STE 600",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012065",
            "telephone_number": "732-220-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PLUM ST STE 600",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012065",
            "telephone_number": "732-220-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 Arlington Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423021",
            "country_code": "US",
            "telephone_number": "703-288-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KUSH",
        "middle_name": "KIRAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA11381500",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "VA",
            "license": "0101281183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.