Individual provider Active NPI

Keyur Patel, MD

  • Family Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1770543803
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301076626 Issued in MI
Practice address
1663 S Westnedge Ave
Kalamazoo, MI 49008-1928
Phone
(269) 694-3001
Fax
(269) 359-3724
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301076626 MI Primary

Addresses

Primary practice location

1663 S Westnedge Ave
Kalamazoo, MI 49008-1928

Mailing address

PO Box 746723
Atlanta, GA 30374-6723
Phone (312) 733-9730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100220000107 MI Practitioner - Family Practice 8022152628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Practice addresses (Care Compare)

1663 S Westnedge Ave
Kalamazoo, MI 49008-1928
Phone (269) 694-3001

Hospital & facility affiliations

  • Seasons Home Health Care Home health agency, Portage, MI, CCN 239301
  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301076626MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osh Mi Physicians Group, PC CurrentSince May 24, 2021 Accepting new patients
Promed Healthcare CurrentSince Oct 1, 2019 Accepting new patients
Osh-Mi Physicians Group PC Family Medicine CurrentSince May 24, 2021 Accepting new patients
Ascension Medical Group Promed Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Sturgis Hospital, Inc. Past Accepting new patients
Sturgis Hospital, Inc. Past Accepting new patients
Osh-Mi Physicians Group PC Family Medicine Past Accepting new patients

Locations

102 W Pierson Rd
Flint, MI 48505
Phone (810) 222-3033

1663 S Westnedge Ave
Kalamazoo, MI 49008
Phone (269) 694-3001

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

1717 E Chicago Rd
Ste 2
Sturgis, MI 49091
Phone (269) 651-1471

1555 E Chicago Rd
Sturgis, MI 49091
Phone (269) 651-7114

600 S Lakeview Ave
Ste B04
Sturgis, MI 49091
Phone (269) 659-4317

916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1770543803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746723",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746723",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 S WESTNEDGE AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081928",
            "telephone_number": "269-694-3001",
            "fax_number": "269-359-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KEYUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301076626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.