DR. MITAL SUMANKUMAR PATEL (M.D. (ORTHOPAEDICS)) – Orthopaedic Surgery Physician, NPI 1891033957
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
780 ORTHOPEDIC SURGERY in WA
Provider Addresses for DR. MITAL SUMANKUMAR PATEL (M.D. (ORTHOPAEDICS))
1959 NE PACIFIC ST
SEATTLE, WA 981950001
Phone: (206) 598-4288
Type: Location
PO BOX 50095
SEATTLE, WA 981455095
Phone: (206) 543-6420
Type: Mailing
1959 NE Pacific St
Seattle, WA 981950001
Phone: (206) 598-4288
Type: Location
1900 HOT SPRINGS BLVD STE A
LAS VEGAS, NM 877013480
Phone: (505) 426-3795
Type: Mailing
105 MILLS AVE STE 200
LAS VEGAS, NM 877014169
Phone: (505) 426-3795
Fax: (505) 425-2653
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: SI-BONE, INC. ($19).
Total Amount
$55
General + Research + Ownership
Payments
3
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SI-BONE, INC. | $19 |
| Bioventus LLC | $19 |
| Zimmer Biomet Holdings, Inc. | $17 |
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: 2016-04-29
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 |
|---|---|---|---|---|
| I20160429000636 | I | Orthopedic Surgery | 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.
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 | 111 | 80 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 90 | 57 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 84 | 59 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 56 | 56 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 98195)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| P O D I A T R Y | NM | |
| Orthopedic Surgery | TX | |
| Orthopedic Surgery | AZ | |
| Orthopedic Surgery | KY | |
| General Surgery | AZ |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.