CMS-1500 Box 24J / 33a • NPI
1699185249
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208100000X (CMS 25)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation
Box 32 Service Location & ZIP+4
4455 DUNCAN AVE STE 8N, SAINT LOUIS, MO, 63110-1111
✓ 9-Digit EDI 837 ZIP+4 (63110-1111)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1699185249 (KUNJ G PATEL, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1699185249)
Medicare Beneficiaries
242
Total Billed Services
733
Distinct CPT/HCPCS Codes
42
Medicare Allowed Total
$73,025.56
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 34 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 38 |
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 46 |
99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 65 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 168 |
99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 155 |
99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 19 |
G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 26 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1699185249 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KUNJ G PATEL, M.D. |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation NUCC Code: 208100000X (Physical Medicine & Rehabilitation) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4455 DUNCAN AVE STE 8N, SAINT LOUIS, MO, 63110-1111 |
| Practice Telephone / Fax | Tel: (314) 282-7246 | Fax: (301) 579-4284 |
| Administrative Mailing Address | 3909 CASTELLINA WAY, MANTECA, CA, 95337-8454 |
| Enumeration & Last Sync | Enumerated: 2014-05-05 | CMS Record Updated: 2022-01-10 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208100000X)
What Does Taxonomy Code 208100000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208100000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KUNJ G PATEL, M.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207L00000X — AnesthesiologyPlain English: Board-Certified Anesthesiologist & Interventional Pain Specialist | State: MA | License: 274535 | Primary: Secondary |
208100000X — Physical Medicine & RehabilitationPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation | State: IL | License: 036.150024 | Primary: Secondary |
208D00000X — General PracticePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice | State: MO | License: 2019016517 | Primary: Secondary |
208100000X — Physical Medicine & RehabilitationPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation | State: MO | License: 2019016517 | Primary: Yes (Primary) |
208D00000X — General PracticePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice | State: IL | License: 036.150024 | Primary: Secondary |
208VP0000X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine | State: IL | License: 036.150024 | Primary: Secondary |
208VP0014X — Pain Medicine, Interventional Pain MedicinePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine | State: MO | License: 2019016517 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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