Active NPI
Kinjal Patel
- Podiatrist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 655
- Practice address
- 13521 Steelecroft Pkwy Ste B
Charlotte, NC 28278-7889 - Phone
- (803) 285-1411
- NPI assigned
- Jul 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 655 | NC | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 65P84883 | NY | |
| Foot Surgery Podiatrist | 213ES0131X | 655 | NC | |
| Podiatrist | 213E00000X | 655 | NC | Primary |
Addresses
Primary practice location
13521 Steelecroft Pkwy Ste B
Charlotte, NC 28278-7889
Mailing address
1190 Highway 9 Byp W
Lancaster, SC 29720-1709
Phone (803) 285-1411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
492 Copperfield Blvd NE
Concord, NC 28025-2404
Phone (704) 788-9797
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 14 |
| Removal of nail tissue | 281 |
| Removal or shaving of skin growth | 72 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006656 | NY | MD | Acupuncturist |
| 655 | NC | MD | Midwife |
| 65P84883 | NY | MD | Foot & Ankle Surgery Podiatrist |
| 733 | SC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Podiatrist | Current | Accepting new patients |
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Podiatrist | Current | Accepting new patients |
| Bethany Medical Center | Past | Accepting new patients |
Locations
8310 Medical Plaza Dr
Ste E
Charlotte, NC 28262
Phone (704) 548-0222
130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482
492 Copperfield Blvd NE
Concord, NC 28025
Phone (704) 788-9797
1022 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 786-4482
3800 NC Highway 49 S
Harrisburg, NC 28075
1418 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 850-9111
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 and National Provider Directory roles.
-
- Podiatrist
- Raleigh, NC
- NPI 1073804712
-
- Podiatrist
- Concord, NC
- NPI 1255213997
-
- Internal Medicine Physician
- High Point, NC
- NPI 1952404188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1629323175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 HIGHWAY 9 BYP W",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297201709",
"telephone_number": "803-285-1411",
"fax_number": "803-283-9920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13521 STEELECROFT PKWY STE B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282787889",
"telephone_number": "803-285-1411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KINJAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-20",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NC",
"license": "655",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "65P84883",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NC",
"license": "655",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NC",
"license": "655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.