Individual provider Active NPI

Kush S Patel

  • Sports Medicine (Emergency Medicine) Physician
  • Sterling, VA
National Provider Identifier
1548608565
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
0101278256 Issued in VA
Practice address
46000 Center Oak PLZ Ste 260
Sterling, VA 20166-8538
Phone
(703) 970-6464
Fax
(703) 970-6468
NPI assigned
Jun 12, 2013
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD465726 PA
Sports Medicine (Internal Medicine) Physician 207RS0010X MD465726 PA
Sports Medicine (Emergency Medicine) Physician 207PS0010X 0101278256 VA Primary

Addresses

Primary practice location

46000 Center Oak PLZ Ste 260
Sterling, VA 20166-8538

Mailing address

PO Box 37189
Baltimore, MD 21297-3189
Phone (571) 423-5699

Other practice location 1

2005 Technology Pkwy Ste 100
Mechanicsburg, PA 17050-9413
Phone (717) 791-2620

Other practice location 2

300 Bretz Ct Ste 100
Newport, PA 17074-8615
Phone (717) 652-9555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kpatel86842@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181011002541 PA Practitioner - Internal MedicinePractitioner - Sports Medicine 5890099097 Reassigns benefits to 1 organization
I20230720002248 VA Practitioner - Sports MedicinePractitioner - Internal Medicine 5890099097 Reassigns benefits to 1 organization
I20230726003196 DC Practitioner - Sports MedicinePractitioner - Internal Medicine 5890099097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

224 A Cornwall St NW
Leesburg, VA 20176-2701
Phone (703) 771-2837

224 B Cornwall NWST
Leesburg, VA 20176-2701

224 Cornwall St NW
Leesburg, VA 20176-2701
Phone (703) 771-2894

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD465726PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Sep 11, 2018 Accepting new patients
Inova Health Care Services CurrentSince Jun 19, 2023 Accepting new patients
Inova Health Care Services CurrentSince Jun 19, 2023 Accepting new patients
Pinnacle Health Medical Services Internal Medicine CurrentSince Sep 11, 2018 Accepting new patients
Pinnacle Health Medical Services Internal Medicine Current Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Jun 19, 2023 Accepting new patients
Inova Physician Partners, LLC PastSince Jun 25, 2023 Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

4310 Londonderry Rd
Ste 1
Harrisburg, PA 17109
Phone (717) 561-4242

2005 Technology Pkwy
Ste 100
Mechanicsburg, PA 17050
Phone (717) 791-2620

300 Bretz Ct
Ste 100
Newport, PA 17074
Phone (717) 567-3174

3299 Woodburn Rd
Ste 370
Annandale, VA 22003
Phone (703) 573-2066

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

46000 Center Oak Plz
Ste 260
Sterling, VA 20166
Phone (571) 472-6464

Interoperability endpoints

  • Direct secure messaging: kpatel1163619@soc.inova.org
  • Direct secure messaging: kpatel86842@phsdirect.pinnaclehealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1548608565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37189",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973189",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46000 CENTER OAK PLZ STE 260",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201668538",
            "telephone_number": "703-970-6464",
            "fax_number": "703-970-6468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Technology Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170509413",
            "country_code": "US",
            "telephone_number": "717-791-2620",
            "fax_number": "717-791-2621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Bretz Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "PA",
            "postal_code": "170748615",
            "country_code": "US",
            "telephone_number": "717-652-9555",
            "fax_number": "717-791-2621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KUSH",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD465726",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD465726",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "VA",
            "license": "0101278256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpatel86842@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2005 Technology Pkwy Ste 100",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170509413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.