Individual provider Active NPI

Kinjal Ramesh Patel, M.D.

  • Nephrology Physician
  • Fairfax, VA
National Provider Identifier
1295820827
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101230883 Issued in VA
Practice address
3930 Walnut Street
Suite 101
Fairfax, VA 22030-4738
Phone
(703) 246-9246
Fax
(703) 246-9257
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101230883 VA Primary

Addresses

Primary practice location

3930 Walnut Street
Suite 101
Fairfax, VA 22030-4738

Mailing address

3930 Walnut Street
Suite 101
Fairfax, VA 22030-4738
Phone (703) 246-9246

Other identifiers 14

IdentifierTypeStateIssuer
010084555MedicaidVA
010084636MedicaidVA
47430008OtherCAREFIRST
010084652MedicaidVA
010084687MedicaidVA
010084032MedicaidVA
010084784MedicaidVA
010083800MedicaidVA
010083834MedicaidVA
010084822MedicaidVA
5366290OtherCIGNA
2129869OtherMAMSI
010083958MedicaidVA
010084008MedicaidVA

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
I20041008000221 DC Practitioner - Nephrology 2062471626 Reassigns benefits to 1 organization
I20120724000151 VA Practitioner - Nephrology 2062471626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Georgetown University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Nephrology Group LLPGroup PAC ID 2062471857, 15 clinicians

Practice addresses (Care Compare)

14000 Crown CT
Suite 110
Woodbridge, VA 22193-1463
Phone (703) 680-3055

2751 Killarney Dr
Woodbridge, VA 22192-4119
Phone (703) 897-7027

3930 Walnut St
Suite 101
Fairfax, VA 22030-4750
Phone (703) 246-9246

Hospital & facility affiliations

  • DaVita Newington Home Training Dialysis facility, Lorton, VA, CCN 492691
  • DaVita Newington Dialysis Dialysis facility, Lorton, VA, CCN 492690
  • DaVita Dale City Dialysis facility, Dale City, VA, CCN 492689
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Merit-based Incentive Payment System (MIPS)

Final score
94.05 of 100Reported as group
Quality
100
Promoting interoperability
79
Improvement activities
40
Cost
80.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101230883VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Nephrology Group, LLP Nephrology CurrentSince Jun 11, 2004 Accepting new patients
Lees Dialysis LLC PastSince Oct 1, 2015 Accepting new patients

Locations

5150 Duke St
Alexandria, VA 22304
Phone (703) 246-9246

1635 N George Mason Dr
Ste 215
Arlington, VA 22205
Phone (703) 841-0707

13135 Route 50
Ste 145
Fairfax, VA 22033
Phone (703) 378-1360

3930 Walnut St
Ste 101
Fairfax, VA 22030
Phone (703) 246-9246

14000 Crown Ct
Ste 110
Woodbridge, VA 22193
Phone (703) 361-7341

Interoperability endpoints

  • Direct secure messaging: virginianephrology.kpatel@147473.advancedmd-direct.com

Organizations & group practices 2

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 9

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1295820827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 WALNUT STREET",
            "address_2": "SUITE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304738",
            "telephone_number": "703-246-9246",
            "fax_number": "703-246-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 WALNUT STREET",
            "address_2": "SUITE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304738",
            "telephone_number": "703-246-9246",
            "fax_number": "703-246-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KINJAL",
        "middle_name": "RAMESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101230883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084555",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084636",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "47430008",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084652",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084687",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084032",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084784",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010083800",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010083834",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084822",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5366290",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2129869",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010083958",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084008",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.