Individual provider Active NPI

Ketan H. Patel, MD

  • Emergency Medicine Physician
  • Round Rock, TX
National Provider Identifier
1386722825
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R5179 Issued in TX
Practice address
300 University Blvd
Round Rock, TX 78665-1032
Phone
(512) 509-0100
Fax
(512) 218-6330
NPI assigned
Nov 1, 2006
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R5179 TX Primary
Emergency Medicine Physician 207P00000X 250728 NY
Emergency Medicine Physician 207P00000X A92099 CA

Addresses

Primary practice location

300 University Blvd
Round Rock, TX 78665-1032

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

1150 Veterans Blvd
Redwood City, CA 94063-2037
Phone (650) 299-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kpatel1498221@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 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
I20090219000030 NY Practitioner - Emergency Medicine 2466559893 Reassigns benefits to 5 organizations
I20260406001148 TX Practitioner - Emergency Medicine 2466559893 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Care Services of New York PCGroup PAC ID 3678678646, 43 clinicians
Bronxcare Health SystemGroup PAC ID 3870404429, 335 clinicians
Malina Medical Services PCGroup PAC ID 3779943600, 33 clinicians

Practice addresses (Care Compare)

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8000

1650 Grand Concourse
FL 1
Bronx, NY 10457-7606
Phone (718) 992-7669

6 E 39TH St
Suite 600
New York, NY 10016-0123
Phone (201) 483-3760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A92099CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsbrook Medical Associates, PC Current Accepting new patients
Rocket Doctor Practice Group, P.C. Emergency Medicine CurrentSince Sep 24, 2025 Accepting new patients
Medical Health Services PC Emergency Medicine CurrentSince Dec 16, 2025 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
Kingsbrook Medical Associates PC Emergency Medicine CurrentSince Jul 16, 2015 Accepting new patients
Malina Medical Services PC Emergency Medicine CurrentSince Dec 16, 2025 Accepting new patients

Locations

2219 Main St
Santa Monica, CA 90405
Phone (310) 800-1630

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

585 Schenectady Ave
#209
Brooklyn, NY 11203

447 Broadway
Fl 2
New York, NY 10013
Phone (347) 807-3288

6 E 39th St
Ste 600
New York, NY 10016
Phone (201) 483-3760

7 W 96th St
Apt 1H
New York, NY 10025
Phone (201) 483-3760

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 10

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1386722825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UNIVERSITY BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651032",
            "telephone_number": "512-509-0100",
            "fax_number": "512-218-6330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940632037",
            "country_code": "US",
            "telephone_number": "650-299-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KETAN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R5179",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "250728",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A92099",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpatel1498221@direct.sw.org",
            "affiliation": "N",
            "endpointDescription": "kpatel1498221@direct.sw.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 University Blvd",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786651032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.