KETAN M PATEL (MD) – Plastic Surgery Physician, NPI 1033344817
Plastic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
803 PLASTIC AND RECONSTRUCTIVE SURGERY in CA
Provider Addresses for KETAN M PATEL (MD)
PO BOX 31309
LOS ANGELES, CA 900310309
Phone: (323) 442-7920
Type: Mailing
4140 W 190TH ST
TORRANCE, CA 905045513
Phone:
Type: Mailing
5411 ETIWANDA AVE STE 200
TARZANA, CA 913563648
Phone: (310) 423-2129
Fax: (310) 423-4145
Type: Location
1450 San Pablo St Ste 6200
Los Angeles, CA 900335331
Phone: (323) 442-7920
Type: Location
18133 Ventura Blvd Ste 300
Tarzana, CA 913563645
Phone: (310) 423-2129
Fax: (310) 423-4145
Type: Location
Los Angeles, San Pablo Nuevo, Distrito David, Chiriquí, Panama
LOS ANGELES, CA 900335331
Phone: (323) 442-7920
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 140 Open Payments records for all available years, with a total value of $41,883.
Total Amount is formed as General ($41,883) + Research ($0) + Ownership ($0) = $41,883.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Stryker Corporation ($31,227).
Total Amount
$41,883
General + Research + Ownership
Payments
140
Total payment records
General Amount
$41,883
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $31,227 |
| PolyNovo North America LLC | $3,739 |
| TELA Bio, Inc. | $3,182 |
| ABBVIE INC. | $937 |
| AXOGEN | $725 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141022002477 | I | Plastic And Reconstructive Surgery | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 66 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 61 | 61 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 90031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| U R O L O G Y | CA | |
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | CA | |
| - | CA | |
| - | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| General Surgery | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| - | CA |
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