NPIMap

Individual provider Active NPI

Kinjal Patel, M.D.

  • Internal Medicine Physician
  • Brockton, MA
National Provider Identifier
1306134978
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
268859 Issued in MA
Practice address
110 Liberty St
Brockton, MA 02301-5521
Phone
(508) 894-0400
Fax
(508) 894-0412
NPI assigned
Jul 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 268859 MA Primary
Internal Medicine Physician 207R00000X 276971 NY

Addresses

Primary practice location

110 Liberty St
Brockton, MA 02301-5521

Mailing address

110 Liberty St
Brockton, MA 02301-5521
Phone (508) 894-0400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170414000565 MA Practitioner - Internal Medicine 0840512901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Healthcare Medical Group IncGroup PAC ID 7719876267, 250 clinicians

Practice addresses (Care Compare)

110 Liberty St
Brockton, MA 02301-5521
Phone (508) 894-0400

Hospital & facility affiliations

  • Brockton Vna Home health agency, Brockton, MA, CCN 227006
  • Amedisys Home Health Care Home health agency, Wakefield, MA, CCN 227211
  • Bayada Home Health Care, Inc Home health agency, Canton, MA, CCN 227551
  • Presidential Home Health Care LLC Home health agency, Quincy, MA, CCN 227672
  • Caretenders Home health agency, Needham Heights, MA, CCN 227269
  • Old Colony Hospice, Inc Hospice, W Bridgewater, MA, CCN 221514
  • Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
70.13
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
268859MAMDInternal Medicine Physician
276971NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Medical Group PC Internal Medicine CurrentSince Jul 1, 2026 Accepting new patients
Signature Healthcare Medical Group Inc Internal Medicine CurrentSince May 1, 2017 Accepting new patients

Locations

110 Liberty St
Brockton, MA 02301

110 Liberty St
Ste 2A
Brockton, MA 02301
Phone (508) 894-0766

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

1256 Park St
Ste 201
Stoughton, MA 02072

Interoperability endpoints

  • Direct secure messaging: kinjal.patel@direct.signature.masshiway.net

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 10

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": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1306134978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LIBERTY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015521",
            "telephone_number": "508-894-0400",
            "fax_number": "508-894-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LIBERTY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015521",
            "telephone_number": "508-894-0400",
            "fax_number": "508-894-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KINJAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "268859",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "276971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.