Individual provider Active NPI

Kinjal Patel

  • Podiatrist
  • Charlotte, NC
National Provider Identifier
1629323175
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
655 Issued in NC
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

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180406001687 NC Practitioner - Podiatry 9032428990 Reassigns benefits to 1 organization
I20220110001248 SC Practitioner - Podiatry 9032428990

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

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions14
Removal of nail tissue281
Removal or shaving of skin growth72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006656NYMDAcupuncturist
655NCMDMidwife
65P84883NYMDFoot & Ankle Surgery Podiatrist
733SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jul 15, 2025 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jul 15, 2025 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.

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

Verify at the official NPI Registry.