Active NPI
Kalpit C Patel, M.D.
- Family Medicine Physician
- Smyrna, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 70398
- Practice address
- 4480 N Cooper Lake Rd SE Ste 100
Smyrna, GA 30082 - Phone
- (770) 333-1300
- Fax
- (770) 432-8312
- NPI assigned
- Jul 13, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301097370 | MI | |
| Family Medicine Physician | 207Q00000X | 70398 | GA | Primary |
Addresses
Primary practice location
4480 N Cooper Lake Rd SE Ste 100
Smyrna, GA 30082
Mailing address
805 Sandy Plains Road
Medical Staff Services
Marietta, GA 30066-6340
Other practice location 1
33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000
Other practice location 2
33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kpatel40601@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 E W Connector
Suite 520
Austell, GA 30106-8532
Phone (678) 273-3071
12201 Hwy 92
Suite D
Woodstock, GA 30188-7141
Phone (770) 517-4621
2450 Old Milton Pkwy
Alpharetta, GA 30009-2520
3730 Carmia Dr SW
Suite 110
Atlanta, GA 30331-6260
Phone (404) 344-7286
4477 Towne Lake Pkwy
Suite 130
Woodstock, GA 30189-6720
Phone (770) 249-5620
4480 N Cooper Lake Rd SE
Smyrna, GA 30082-4623
4480 N Cooper Lake Serd
Smyrna, GA 30082-4623
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
5655 Atlanta Hwy
Alpharetta, GA 30004-5208
Phone (770) 691-0819
Hospital & facility affiliations
- Wellstar Cobb Medical Center
- Wellstar West Georgia Medical Center
- Wellstar Douglas Medical Center
- Wellstar North Fulton Medical Center
- Wellstar Kennestone Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70398 | GA | MD | Family Medicine Physician |
| 4301097370 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients |
Locations
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
818 Church St NE
Ste 100
Marietta, GA 30060
Phone (770) 560-4190
4480 N Cooper Lake Rd SE
Ste 100
Smyrna, GA 30082
Phone (770) 331-1300
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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- General Acute Care Hospital
- Roswell, GA
- NPI 1750312997
-
- General Acute Care Hospital
- Lagrange, GA
- NPI 1821221144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1386956746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SANDY PLAINS ROAD",
"address_2": "MEDICAL STAFF SERVICES",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4480 N COOPER LAKE RD SE STE 100",
"city": "SMYRNA",
"state": "GA",
"postal_code": "30082",
"telephone_number": "770-333-1300",
"fax_number": "770-432-8312"
}
],
"practiceLocations": [
{
"address_1": "33155 Annapolis St",
"address_purpose": "LOCATION",
"city": "Wayne",
"state": "MI",
"postal_code": "481842405",
"country_code": "US",
"telephone_number": "734-467-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "33155 Annapolis St",
"address_purpose": "LOCATION",
"city": "Wayne",
"state": "MI",
"postal_code": "481842405",
"country_code": "US",
"telephone_number": "734-467-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "KALPIT",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-13",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301097370",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "70398",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kpatel40601@directwellstar.org",
"affiliation": "N",
"address_1": "4480 N Cooper Lake Rd SE Ste 100",
"city": "Smyrna",
"state": "GA",
"country_code": "US",
"postal_code": "300824623",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.