KINAL KIM PATEL (D.O.) – Internal Medicine Physician, NPI 1063862480

KINAL KIM PATEL (D.O.) is a healthcare provider. based in Warren, Michigan. specializing in INTERNAL MEDICINE, GERIATRIC MEDICINE. They hold the professional credentials D.O.. They hold a License No. U3748 (TX). The NPI Number for KINAL KIM PATEL (D.O.) is 1063862480

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
KINAL KIM PATEL (D.O.)
NPI
1063862480
Phone
(586) 582-6630
Address
11885 E 12 Mile Rd Ste 300A
Enumeration Date
16 June 2016
Last Update Date
25 February 2026

Doctor Profile

Medical School Name
EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Secondary Phone
5052629205
Graduation Year
2016 (10 years ago)
PAC ID
7719278894
Group Practice PAC ID
9032125810
Professional Enrollment ID
I20251024001904
Address ID
NM871222999AL9501XNEXX501
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:9State licenses:3Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for KINAL KIM PATEL (D.O.)

  • 11885 E 12 Mile Rd Ste 300A

    Warren, MI 480933467

    Phone: (586) 582-6630

    Fax: (586) 582-6631

    Type: Location

  • 2001 N 4th St

    Flagstaff, AZ 860044227

    Phone: (928) 527-4325

    Type: Location

  • 2001 N 4TH ST

    FLAGSTAFF, AZ 860044227

    Phone: (928) 527-4325

    Type: Location

  • 5680 FRISCO SQUARE BLVD STE 3000

    FRISCO, TX 750343319

    Phone: (469) 535-8000

    Type: Location

  • East 12 Mile Road, Warren, Macomb County, Michigan, 48093, United States

    WARREN, MI 480933467

    Phone: (586) 582-6630

    Fax: (586) 582-6631

    Type: Mailing

  • 1 Medical Center Dr

    DHMC - Dept of Neurology

    Lebanon, NH 037560001

    Phone: (603) 650-5000

    Fax: (603) 640-1228

    Type: Location

  • PO BOX 35380

    LAS VEGAS, NV 891335380

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20240412003594IInternal MedicineAZTBD
I20241010000875IGeriatric MedicineNHTBD
I20241022000574IGeriatric MedicineVTTBD
I20250305002069IInternal MedicineTXTBD
I20251024001904IInternal MedicineNMTBD

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 48093)

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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: 9032125810View full group profile

Reviews

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Frequently asked questions

What is the registry number for KINAL KIM PATEL (D.O.)?
The registry entry for KINAL KIM PATEL (D.O.) shows NPI 1063862480.
Is KINAL KIM PATEL (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists KINAL KIM PATEL (D.O.) as active.
What does the directory say KINAL KIM PATEL (D.O.) does?
Insurance directories may phrase it differently, but here KINAL KIM PATEL (D.O.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to KINAL KIM PATEL (D.O.)?
The directory associates KINAL KIM PATEL (D.O.) with Warren, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.