Pauline Kubilisz Patel, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

19958 Issued in SC

Practice address

2739 Laurel St Ste 1a
Columbia, SC 29204-2028

Phone

(803) 799-4800

Fax

(803) 252-0052

NPI assigned

Feb 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of South Carolina School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia Gastroenterology Associates PAGroup PAC ID 9234035759, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Columbia Gastroenterology Associates PA

  • Gastroenterology Physician
  • Columbia, SC
  • NPI 1922080266
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1710345939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 LAUREL ST STE 1A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042028",
            "telephone_number": "803-799-4800",
            "fax_number": "803-252-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 LAUREL ST STE 1A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042028",
            "telephone_number": "803-799-4800",
            "fax_number": "803-252-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PAULINE",
        "middle_name": "KUBILISZ",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "19958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3705",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikkie Patel, PHARMD
• Nimit Nakul Patel, M.D.
• Nirav Manhar Patel, M.D.
• Nitin A Patel, MD
• Paras Ramesh Patel, M.D.
• Payal Patel, APRN
• Prem Patel
• Priyal Patel, MD
• Pujan Patel, PA-S
• Radhika D Patel, MD

• Acute Care Nurse Practitioner in Columbia, SC
• Providers in Columbia, SC by specialty
• Acute Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.

Verify at the official NPI Registry.