CMS-1500 Box 24J / 33a • NPI
1871132720
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
208VP0014X (CMS 09)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine
Box 32 Service Location & ZIP+4
10435 CLAYTON RD STE 110, FRONTENAC, MO, 63131-2930
✓ 9-Digit EDI 837 ZIP+4 (63131-2930)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1871132720 (KUNJ GOVIND PATEL MD LLC, A SERIES LLC) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1871132720 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | KUNJ GOVIND PATEL MD LLC, A SERIES LLC |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine NUCC Code: 208VP0014X (Pain Medicine, Interventional Pain Medicine) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 10435 CLAYTON RD STE 110, FRONTENAC, MO, 63131-2930 |
| Practice Telephone / Fax | Tel: (314) 312-2862 |
| Administrative Mailing Address | 3909 CASTELLINA WAY, MANTECA, CA, 95337-8454 |
| Enumeration & Last Sync | Enumerated: 2019-12-24 | CMS Record Updated: 2022-01-10 |
| Authorized Official | KUNJ PATEL (Director) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208VP0014X)
What Does Taxonomy Code 208VP0014X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208VP0014X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KUNJ GOVIND PATEL MD LLC, A SERIES LLC)
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 |
|---|---|
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: N/A | License: Verified | Primary: Secondary |
2081P2900X — Physical Medicine & Rehabilitation, Pain MedicinePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Pain Medicine | State: N/A | License: Verified | Primary: Secondary |
261QP2300X — Clinic/Center, Primary CarePlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
261QP3300X — Clinic/Center, PainPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
208VP0014X — Pain Medicine, Interventional Pain MedicinePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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