Active NPI
Ketan Patel, MD
- Pain Medicine Physician
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- A184155
- Practice address
- 113 Waterworks Way Ste 240
Irvine, CA 92618-3175 - Phone
- (949) 340-9622
- Fax
- (949) 528-3969
- NPI assigned
- Jul 1, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | A184155 | CA | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | A184155 | CA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 25MA10871500 | NJ | |
| Interventional Pain Medicine Physician | 208VP0014X | A184155 | CA |
Addresses
Primary practice location
113 Waterworks Way Ste 240
Irvine, CA 92618-3175
Mailing address
113 Waterworks Way Ste 240
Irvine, CA 92618-3175
Phone (949) 340-9622
Other practice location 1
2141 Route 88 Ste 3
Brick, NJ 08724-3268
Phone (732) 898-7050
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
113 Waterworks Way
Suite 240
Irvine, CA 92618-3175
Phone (949) 340-9622
2725 E Broadway
Long Beach, CA 90803-5431
Phone (949) 371-9773
7716 W Manchester Ave
Playa del Rey Care and Rehabilitation
Playa del Ray, CA 90293-8408
Phone (310) 823-4694
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.82 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 76.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10871500 | NJ | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| A184155 | CA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehab Consultants California Inc | Multi-Specialty | Current | Accepting new patients |
| Michael Decker, DO, Inc | Multi-Specialty | Current | Accepting new patients |
| Align Spine Center | Multi-Specialty | Current | Accepting new patients |
| West Coast Health and Rehab PC | Multi-Specialty | Current | Accepting new patients |
| St Jude Hospital Inc | Interventional Pain Medicine | Past | Accepting new patients |
| Spine and Pain Institute of Orange County, Inc. | Multi-Specialty | Past | Accepting new patients |
| Jeffrey Demian Inc | Multi-Specialty | Past | Accepting new patients |
Locations
820 E Imperial Hwy
Brea, CA 92821
9246 Avenida Miravilla
Cherry Valley, CA 92223
Phone (951) 845-3194
9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481
2720 N Harbor Blvd
Ste 210
Fullerton, CA 92835
Phone (714) 446-5192
565 Pier Ave
Unit 1352
Hermosa Beach, CA 90254
Phone (816) 896-1355
7534 Palm Ave
Highland, CA 92346
Phone (909) 862-0611
113 Waterworks Way
Ste 240
Irvine, CA 92618
Phone (949) 340-9622
25383 Cole St
Loma Linda, CA 92354
Phone (909) 796-0235
2725 E Broadway
Long Beach, CA 90803
Phone (562) 434-4494
837 W Manchester Ave
Los Angeles, CA 90044
Phone (310) 740-1013
800 E 5th St
Ontario, CA 91764
Phone (909) 984-1620
7716 W Manchester Ave
Playa del Rey, CA 90293
Phone (310) 823-4694
1620 W Fern Ave
Redlands, CA 92373
Phone (909) 793-2196
1850 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (323) 655-6960
8647 Fenwick St
Sunland, CA 91040
Phone (818) 352-1421
275 Garnet Way
Upland, CA 91786
Phone (909) 449-4887
1224 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 937-7450
35253 Avenue H
Yucaipa, CA 92399
Phone (909) 795-2476
11970 4th St
Yucaipa, CA 92399
Phone (719) 661-0764
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- kpatel2957042@oc.providencedirect.org
Organizations & group practices 7
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.
-
- Physical Medicine & Rehabilitation Physician
- Playa del Rey, CA
- NPI 1023449741
Multi-Specialty
-
- Physical Medicine & Rehabilitation Physician
- Edgewater, NJ
- NPI 1043743891
CA, Multi-Specialty
-
- Orthopaedic Surgery Physician
- Irvine, CA
- NPI 1609145127
Multi-Specialty
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
Interventional Pain Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- General Acute Care Hospital
- Brea, CA
- NPI 1891904942
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1316320864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 WATERWORKS WAY STE 240",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183175",
"telephone_number": "949-340-9622",
"fax_number": "949-528-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 WATERWORKS WAY STE 240",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183175",
"telephone_number": "949-340-9622",
"fax_number": "949-528-3969"
}
],
"practiceLocations": [
{
"address_1": "2141 Route 88 Ste 3",
"address_purpose": "LOCATION",
"city": "Brick",
"state": "NJ",
"postal_code": "087243268",
"country_code": "US",
"telephone_number": "732-898-7050",
"fax_number": "732-898-7051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "KETAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-01",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "A184155",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A184155",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NJ",
"license": "25MA10871500",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "A184155",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.