MR. KUSH GHANSHYAM PATEL (PA-C) – Physician Assistant, NPI 1114627650

MR. KUSH GHANSHYAM PATEL (PA-C) is a healthcare provider. based in Milford, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 6471 (CT). The NPI Number for MR. KUSH GHANSHYAM PATEL (PA-C) is 1114627650

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MR. KUSH GHANSHYAM PATEL (PA-C)
NPI
1114627650
Phone
(203) 810-4151
Address
233 BROAD ST STE 1
Enumeration Date
3 March 2023
Last Update Date
30 April 2024

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2039751112
Graduation Year
2024 (2 years ago)
PAC ID
5395186209
Group Practice PAC ID
9032147509
Professional Enrollment ID
I20240509001691
Address ID
CT069055318ST1250XSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,243 PHYSICIAN ASSISTANT in CT

Provider Addresses for MR. KUSH GHANSHYAM PATEL (PA-C)

  • 233 BROAD ST STE 1

    MILFORD, CT 064603549

    Phone: (203) 810-4151

    Fax: (203) 783-9689

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $603.

Total Amount is formed as General ($603) + Research ($0) + Ownership ($0) = $603.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($163).

Total Amount

$603

General + Research + Ownership

Payments

19

Total payment records

General Amount

$603

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-05-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240509001691IPhysician AssistantCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06460)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032147509View full group profile
NameSpecialtyState
Physician AssistantCT
D E R M A T O L O G YCT
Nurse PractitionerCT
D E R M A T O L O G YNY
-CT
-TX
Physician AssistantNY
Physician AssistantCT
Nurse PractitionerCT
Physician AssistantCT

Reviews

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Frequently asked questions

What is MR. KUSH GHANSHYAM PATEL (PA-C)'s NPI number?
MR. KUSH GHANSHYAM PATEL (PA-C)'s NPI is 1114627650 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MR. KUSH GHANSHYAM PATEL (PA-C)?
For scheduling context, MR. KUSH GHANSHYAM PATEL (PA-C) is shown as active in the registry.
What expertise is attributed to MR. KUSH GHANSHYAM PATEL (PA-C)?
MR. KUSH GHANSHYAM PATEL (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. KUSH GHANSHYAM PATEL (PA-C) associated with Milford?
Public fields place MR. KUSH GHANSHYAM PATEL (PA-C) around Milford, Connecticut. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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