Kishor Valajibhai Patel, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2048 Issued in SC

Practice address

9789 Charlotte Hwy
Suite 1400
Fort Mill, SC 29707-7177

Phone

(803) 548-7007

Fax

(803) 802-2015

NPI assigned

Feb 2, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

83.85 of 100Reported as group

Quality

74.19

Improvement activities

40

Cost

73.55

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Palmetto Medical Group, PLLC

  • Internal Medicine Physician
  • Indian Land, SC
  • NPI 1467629261
  Medicare reassignment NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment NPD
• Apogee Medical Group South Carolina

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1619028545

  SC

  Medicare reassignment
• Usacs Integrated Acute Care Services of North Carolina, PLLC

  • Internal Medicine Physician
  • Elizabeth City, NC
  • NPI 1437869302
  Medicare reassignment
• Vidant Medical Group LLC

  • Ambulatory Surgical Clinic/Center
  • Kinston, NC
  • NPI 1376049619
  NPD

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

{
    "created_epoch": "1391299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396742400000",
    "number": "1841613437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9789 CHARLOTTE HWY",
            "address_2": "SUITE 1400",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297077177",
            "telephone_number": "803-548-7007",
            "fax_number": "803-802-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9789 CHARLOTTE HWY",
            "address_2": "SUITE 1400",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297077177",
            "telephone_number": "803-548-7007",
            "fax_number": "803-802-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KISHOR",
        "middle_name": "VALAJIBHAI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-02",
        "last_updated": "2014-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2048",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pass Services,LLC
• Allison Meredith Pastirik, LCSW, LISW-CP
• Patel Medical Clinic PA
• Gopali Patel
• Kinjalben Prakashkumar Patel, PHARMD
• Meera Patel
• Riddhi Patel, DMD
• Seema Patel, PTA
• Shilpesh Shantilal Patel, M.D.
• Victoria Leigh Paterra, MS, CCC, SLP

• Physician Assistant in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2014; 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.