Kaushal Kantibhai Patel, M.D.
Pulmonary Disease Physician · Newport News, VA
Kaushal Kantibhai Patel, M.D. is a pulmonary disease physician with a practice address in Newport News, Virginia, and NPI 1396186466, issued on Jul 17, 2013. Check the license (Virginia 0101274779, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Kaushal Kantibhai Patel
- Credential
- M.D.
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License numbers
- 0101274779 VA
58778 TN
Self-reported in NPPES; status is on the state search - Practice location
- 12200 Warwick Blvd Ste 290, Newport News, VA 23601
- Phone
- (757) 534-5454
- Enumerated
- Jul 17, 2013
- Record last updated
- Jul 26, 2022
- Medicare enrollment
- Enrolled (PECOS I20220808001711); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 386 in Virginia → Look up another NPI →
Also registered at 12200 Warwick Blvd Ste 290
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Som Chalise, M.D.Pulmonary Disease Physician1255580361
- Oladunni Enilari, MDPulmonary Disease Physician1275820664
- Amani JonesPhysician Assistant1508552621
- Stuart Kilstein, MDCritical Care Medicine (Internal Medicine) Physician1649353624
- Tokunbo Matthews, M.D.Pulmonary Disease Physician1205994852
- Tiffany Mills, NPNurse Practitioner1003596214
Verify Kaushal Kantibhai Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101274779Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
22% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
1,107 Medicare Part D claims for 204 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 75% of claims.
Most prescribed
- Trelegy Ellipta355 claims
- Albuterol Sulfate Hfa149 claims
- Anoro Ellipta81 claims
- Breo Ellipta45 claims
- Omeprazole39 claims
- Fluticasone-Salmeterol36 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 94.1 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Riverside Physician Services IncNewport News, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kaushal Kantibhai Patel among 386 pulmonary disease physician records in Virginia
Kaushal Kantibhai Patel, M.D. is one of 386 pulmonary disease physician records with a practice address in Virginia. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 81% of them.
- NPI issued2013 · 81% of these records are older, 17% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated2010 · median 2002 among the 252 with a school on file
- Record last updated2022 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in Virginia
There are 386 pulmonary disease physician records in Virginia.
All 386 in Virginia → Every provider in Newport News → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Som Chalise, M.D.Newport News, VA 236011255580361
- Oladunni Enilari, MDNewport News, VA 236011275820664
- Curtis Givens, M.D.Newport News, VA 236011407957343
- Tokunbo Matthews, M.D.Newport News, VA 236011205994852
- John Perry, M.D.Newport News, VA 236011952399073
- Adam Purdy, M.D.Newport News, VA 236011932563582
- Eric Weiner, M.D.Newport News, VA 236011982601993
- Subramanian Malaisamy, MBBS, MRCP (UK)Newport News, VA 236061861698185
Common questions
What is Kaushal Kantibhai Patel, M.D.'s NPI number?
Kaushal Kantibhai Patel, M.D.'s National Provider Identifier (NPI) is 1396186466, issued on Jul 17, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Kaushal Kantibhai Patel, M.D. located?
The NPPES record lists a practice address at 12200 Warwick Blvd Ste 290, Newport News, VA, 23601. Phone: (757) 534-5454. Providers update this record themselves, so call before visiting.
How can I verify Kaushal Kantibhai Patel, M.D.'s license?
NPPES lists Virginia license number 0101274779, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kaushal Kantibhai Patel, M.D. prescribe under Medicare Part D?
In 2024, Kaushal Kantibhai Patel, M.D. had 1,107 Medicare Part D claims for 204 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Kaushal Kantibhai Patel, M.D.'s MIPS final score?
The 2023 MIPS final score is 94.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.