Individual provider Active NPI

Kumar R Patel, MD

  • Allergy & Immunology Physician
  • Tarentum, PA
National Provider Identifier
1720198393
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
20636 Issued in WV
Practice address
301 E 5TH Ave
Tarentum, PA 15084-1861
Phone
(724) 224-5440
Fax
(724) 904-7634
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 20636 WV Primary

Addresses

Primary practice location

301 E 5TH Ave
Tarentum, PA 15084-1861

Mailing address

301 E 5TH Ave
Tarentum, PA 15084-1861
Phone (724) 224-5440

Other practice location 1

340 S Hollywood Blvd
Steubenville, OH 43952-2477
Phone (724) 224-5440

Other identifiers 2

IdentifierTypeStateIssuer
1840069000MedicaidWV
2272222MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA, WV3 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
I20040924000763 OH Practitioner - Allergy/Immunology 6305815507 Reassigns benefits to 1 organization
I20110105000843 PA Practitioner - Allergy/Immunology 6305815507 Reassigns benefits to 1 organization
I20110106000060 WV Practitioner - Allergy/Immunology 6305815507 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20636WVMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Asthma & Allergy Institute Inc Allergy & Immunology Past Accepting new patients

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kumar Patel MD LLC 4 clinicians

Practice addresses (Care Compare)

301 5TH Ave
Suite 100
Tarentum, PA 15084-1863
Phone (724) 224-5440

340 S Hollywood Blvd
Steubenville, OH 43952-2494
Phone (724) 224-5440

651 Colliers Way
Weirton, WV 26062-5055
Phone (724) 224-5440

Merit-based Incentive Payment System (MIPS)

Final score
24.28 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.94

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1720198393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 5TH AVE",
            "city": "TARENTUM",
            "state": "PA",
            "postal_code": "150841861",
            "telephone_number": "724-224-5440",
            "fax_number": "724-904-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 5TH AVE",
            "city": "TARENTUM",
            "state": "PA",
            "postal_code": "150841861",
            "telephone_number": "724-224-5440",
            "fax_number": "724-904-7634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 S Hollywood Blvd",
            "address_purpose": "LOCATION",
            "city": "Steubenville",
            "state": "OH",
            "postal_code": "439522477",
            "country_code": "US",
            "telephone_number": "724-224-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KUMAR",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WV",
            "license": "20636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1840069000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2272222",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarentum, PA

Sources for this page

Verify at the official NPI Registry.