Individual provider Active NPI

Kinna Ashok Patel, DPM

  • Podiatrist
  • Marietta, GA
National Provider Identifier
1326446873
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD001435 Issued in GA
Practice address
540 Powder Springs St Ste B6
Marietta, GA 30064-3559
Phone
(561) 293-5288
Fax
(770) 702-8809
NPI assigned
Dec 16, 2014
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 245179 KY
Podiatrist 213E00000X PO3693 FL
Podiatrist 213E00000X POD001435 GA Primary

Addresses

Primary practice location

540 Powder Springs St Ste B6
Marietta, GA 30064-3559

Mailing address

540 Powder Springs St Ste B6
Marietta, GA 30064-3559
Phone (561) 293-5288

Other practice location 1

2919 W Swann Ave
#203
Tampa, FL 33609-4038
Phone (813) 875-0555

Other identifiers 2

IdentifierTypeStateIssuer
5745931OtherFLAETNA
650AVOtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151112001118 FL Practitioner - Podiatry 6800106345 Practice locations: Winter Haven, FL; Winter Springs, FL; Vero Beach, FL; Port St Lucie, FL; Orlando, FL; Melbourne, FL; Lakeland, FL; Lake Wales, FL…
I20200928002695 GA Practitioner - Podiatry 6800106345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1675 Cumberland Pkwy SE
Suite 201
Smyrna, GA 30080-6360
Phone (678) 239-4204

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue26
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3693FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Podiatry Center, Inc. CurrentSince Oct 4, 2020 Accepting new patients
Sava Podiatry and Wellness Centers LLC CurrentSince Jan 1, 2023 Accepting new patients
Community Health Solutions of America Pso, LLC Past Accepting new patients

Locations

540 Powder Springs St
Ste B6
Marietta, GA 30064
Phone (678) 807-8320

1675 Cumberland Pkwy SE
Ste 201
Smyrna, GA 30080
Phone (561) 293-5288

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 2

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": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1326446873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST STE B6",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643559",
            "telephone_number": "561-293-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST STE B6",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643559",
            "telephone_number": "561-293-5288",
            "fax_number": "770-702-8809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2919 W Swann Ave",
            "address_2": "#203",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336094038",
            "country_code": "US",
            "telephone_number": "813-875-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KINNA",
        "middle_name": "ASHOK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "245179",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3693",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5745931",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "650AV",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.