KINAL KIM PATEL (D.O.) – Internal Medicine Physician, NPI 1063862480
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240412003594 | I | Internal Medicine | AZ | TBD |
| I20241010000875 | I | Geriatric Medicine | NH | TBD |
| I20241022000574 | I | Geriatric Medicine | VT | TBD |
| I20250305002069 | I | Internal Medicine | TX | TBD |
| I20251024001904 | I | Internal Medicine | NM | 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.
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
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | NM | |
| - | NM | |
| Internal Medicine, Rheumatology | NM | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | NM | |
| - | NM | |
| - | NM | |
| - | NM | |
| - | NM | |
| - | NM |
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