Individual provider Active NPI

Kruti Patel, M.D.

  • Radiation Oncology Physician
  • Baltimore, MD
National Provider Identifier
1780905968
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
D0080308 Issued in MD
Practice address
6701 N Charles St
Baltimore, MD 21204-6808
Phone
(443) 849-2540
Fax
(410) 849-2595
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X D0080308 MD Primary
Internal Medicine Physician 207R00000X MT198060 PA
Radiation Oncology Physician 2085R0001X MT198060 PA

Addresses

Primary practice location

6701 N Charles St
Baltimore, MD 21204-6808

Mailing address

PO Box 64984
Baltimore, MD 21264-4984
Phone (410) 592-9080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20151020002397 MD Practitioner - Radiation Oncology 3971812678 Reassigns benefits to 3 organizations
I20230415000237 DC Practitioner - Radiation Oncology 3971812678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
State University of New York at Stony Brook, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Urology Associates LLCGroup PAC ID 4789673393, 161 clinicians
Radiation Oncology Healthcare, PAGroup PAC ID 7719981695, 5 clinicians

Practice addresses (Care Compare)

2800 Quarry Lake Dr
Suite 180
Baltimore, MD 21209-3750
Phone (443) 738-9393

6701 N Charles St
Baltamore, MD 21204-6808
Phone (443) 849-2540

Hospital & facility affiliations

  • Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0080308MDMDRadiation Oncology Physician
MT198060PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Urology Associates, LLC CurrentSince Feb 1, 2023 Accepting new patients
Chesapeake Urology Associates, LLC CurrentSince Nov 24, 2024 Accepting new patients
Chesapeake Urology Associates LLC CurrentSince Dec 10, 2022 Accepting new patients
Chesapeake Urology Associates, LLC Current Accepting new patients
Radiation Oncology Healthcare, PA Radiation Oncology CurrentSince Nov 1, 2015 Accepting new patients
Greater Baltimore Medical Center, Inc. Past Accepting new patients

Locations

2800 Quarry Lake Dr
Ste 180
Baltimore, MD 21209
Phone (443) 738-9393

3407 Wilkens Ave
Ste 200
Baltimore, MD 21229
Phone (410) 644-0929

3407 Wilkens Ave
Ste 210
Baltimore, MD 21229
Phone (410) 644-0929

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

19851 Observation Dr
Ste 455
Germantown, MD 20876
Phone (301) 258-1919

19851 Observation Dr
Ste 445
Germantown, MD 20876
Phone (301) 258-1919

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

21 Crossroads Dr
Ste 200
Owings Mills, MD 21117
Phone (410) 581-8140

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

1111 Mount Hermon Rd
#A
Salisbury, MD 21804
Phone (410) 546-2133

3801 International Dr
Ste 310
Silver Spring, MD 20906
Phone (301) 598-9171

6535 N Charles St
Ste 650
Towson, MD 21204
Phone (443) 738-2871

6535 N Charles St
Ste 500
Towson, MD 21204
Phone (410) 296-4181

6701 N Charles St
Rm 1400
Towson, MD 21204

6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000

6701 N Charles St
Ste 1400
Towson, MD 21204
Phone (443) 849-2540

Interoperability endpoints

  • Direct secure messaging: kpatel22878@gbmcdirect.org
  • Direct secure messaging: krutipatel@tsicua.allscriptsdirect.net

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 1

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": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1780905968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64984",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644984",
            "telephone_number": "410-592-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046808",
            "telephone_number": "443-849-2540",
            "fax_number": "410-849-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRUTI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "D0080308",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT198060",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MT198060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.