NPIMap

Individual provider Active NPI

Kajal P Patel, M.D.

  • Nephrology Physician
  • San Jose, CA
National Provider Identifier
1366630444
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A93552 Issued in CA
Practice address
200 Jose Figueres Ave
Suite 255
San Jose, CA 95116-1500
Phone
(408) 223-7474
NPI assigned
Oct 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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 A93552 CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave
Suite 255
San Jose, CA 95116-1500

Mailing address

200 Jose Figueres Ave
Suite 255
San Jose, CA 95116-1500
Phone (408) 223-7474

Other identifiers 1

IdentifierTypeStateIssuer
A93552OtherCAMEDICAL BOARD CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090808000026 CA Practitioner - NephrologyPractitioner - Internal Medicine 9032262076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Medical Consultants IncGroup PAC ID 6709782345, 5 clinicians

Practice addresses (Care Compare)

200 Jose Figueres Ave
Suite 255
San Jose, CA 95116-1589
Phone (408) 223-7474

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93552CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Consultants, Inc. Nephrology CurrentSince Mar 1, 2010 Accepting new patients
Rady Children's Hospital San Diego Past Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients

Locations

200 Jose Figueres Ave
Ste 255
San Jose, CA 95116
Phone (408) 223-7474

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kpatel125934@santaclaravalley.direct-ci.net
  • Direct secure messaging: kpatel53833@icare.elcaminohospital.org

Organizations & group practices 4

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1366630444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "SUITE 255",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "408-223-7474",
            "fax_number": "408-223-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "SUITE 255",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "408-223-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KAJAL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-14",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A93552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD CALIFORNIA",
            "identifier": "A93552",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.