Individual provider Active NPI

Kirankumar Patel

  • Internal Medicine Physician
  • Upland, PA
National Provider Identifier
1679002083
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS020575 Issued in PA
Practice address
One Medical Center Blvd
Department of Medicine 3 East
Upland, PA 19013
Phone
(862) 571-1900
NPI assigned
Jun 8, 2017
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS020575 PA Primary

Addresses

Primary practice location

One Medical Center Blvd
Department of Medicine 3 East
Upland, PA 19013

Mailing address

1 Medical Center Blvd Dept of
Chester, PA 19013-3902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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
I20221013003237 MD Practitioner - Internal Medicine 8921426420 Reassigns benefits to 1 organization
I20221115000260 DE Practitioner - Internal MedicinePractitioner - Hospitalist 8921426420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 623-0188

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS020575PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County Internal Medicine CurrentSince Aug 18, 2022 Accepting new patients
Christiana Care Health Services Inc Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Union Hospital of Cecil County, Inc CurrentSince Aug 18, 2022 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Nov 1, 2022 Accepting new patients
Christiana Care Health Services, Inc. Past Accepting new patients
Union Hospital of Cecil County Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
#3E
Chester, PA 19013
Phone (610) 447-6370

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

300 Evergreen Dr
Ste 310
Glen Mills, PA 19342
Phone (610) 579-3444

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Interoperability endpoints

  • Direct secure messaging: kirankumar.patel@chpm.cernerdirect.com

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 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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1679002083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD DEPT OF",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD",
            "address_2": "DEPARTMENT OF MEDICINE 3 EAST",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "862-571-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KIRANKUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS020575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, PA

Sources for this page

Verify at the official NPI Registry.