DR. KAJAL KIRTI PATEL (OD) – Optometrist, NPI 1073129813

DR. KAJAL KIRTI PATEL (OD) is a healthcare provider. based in Snellville, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. TUV009144-01 (NY). The NPI Number for DR. KAJAL KIRTI PATEL (OD) is 1073129813

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAJAL KIRTI PATEL (OD)
NPI
1073129813
Phone
(770) 978-2020
Address
2427 Heritage Vlg Ste 4
Enumeration Date
17 September 2020
Last Update Date
8 September 2022

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
7706451222
Graduation Year
2020 (6 years ago)
PAC ID
1456764414
Group Practice PAC ID
5193732949
Professional Enrollment ID
I20220916000897
Address ID
GA300221837AL8400XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for DR. KAJAL KIRTI PATEL (OD)

  • 2427 Heritage Vlg Ste 4

    Snellville, GA 300782699

    Phone: (770) 978-2020

    Fax: (470) 508-2002

    Type: Location

  • 1013 E Freeway Dr SE

    Conyers, GA 300945965

    Phone: (770) 922-7906

    Type: Location

  • 5777 Old Winder Hwy

    Braselton, GA 305171603

    Phone: (770) 534-5305

    Type: Location

  • 3820 Pleasant Hill Rd Ste 5

    Duluth, GA 300961429

    Phone: (770) 476-9585

    Type: Location

  • 506 AMSTERDAM AVE APT 3B

    NEW YORK, NY 100243951

    Phone: (727) 729-0923

    Type: Mailing

  • 4153 Lawrenceville Hwy NW Ste 5

    Lilburn, GA 300472854

    Phone: (770) 921-4707

    Type: Location

  • 506 Amsterdam Ave Apt 3B

    New York, NY 100243951

    Phone: (727) 729-0923

    Type: Location

  • 1675 Cumberland Pkwy SE Ste 103

    Smyrna, GA 300806360

    Phone: (770) 438-0202

    Type: Location

  • 4320 Suwanee Dam Rd Ste 2100

    Suwanee, GA 300241949

    Phone: (770) 614-8577

    Type: Location

  • PO BOX 207173

    DALLAS, TX 753207173

    Phone: (636) 200-4393

    Fax: (636) 527-0766

    Type: Mailing

  • 8400 HOLCOMB BRIDGE RD STE 440

    ALPHARETTA, GA 300221837

    Phone: (770) 645-1222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $428.

Total Amount is formed as General ($428) + Research ($0) + Ownership ($0) = $428.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: CooperVision Inc. ($213).

Total Amount

$428

General + Research + Ownership

Payments

6

Total payment records

General Amount

$428

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

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: 2022-09-16

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
I20220916000897IOptometryGATBD

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 30078)

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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: 5193732949View full group profile
NameSpecialtyState
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YTX
O P T O M E T R YGA
O P T O M E T R YGA
-GA
O P T O M E T R YGA

Reviews

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Frequently asked questions

Is there an official ID for DR. KAJAL KIRTI PATEL (OD) in U.S. healthcare records?
The official identifier for DR. KAJAL KIRTI PATEL (OD) is NPI 1073129813.
Is DR. KAJAL KIRTI PATEL (OD) shown as active in public data?
Registry records indicate DR. KAJAL KIRTI PATEL (OD) maintains an active NPI.
What kind of doctor is DR. KAJAL KIRTI PATEL (OD)?
DR. KAJAL KIRTI PATEL (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KAJAL KIRTI PATEL (OD)?
Directory geography for DR. KAJAL KIRTI PATEL (OD) centers on Snellville, Georgia.
What does 12 location(s) imply?
12 practice locations appear in the available data.

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