Individual provider

Kaushal Patel, M.D.

Pulmonary Disease Physician Medicare enrolled

Kaushal Patel, M.D. is a Pulmonary Disease Physician in Newport News, VA, registered under NPI 1396186466. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 12200 WARWICK BLVD STE 290, Newport News, VA 23601. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

12200 WARWICK BLVD STE 290, Newport News, VA 23601 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
58778 TN Pulmonary Disease Physician
0101274779 VA Pulmonary Disease Physician primary

Licences are recorded in 2 states: TN, VA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pulmonary Disease
PAC ID
4486942711

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Tennessee I20190726000519 Practitioner - Pulmonary Disease
Virginia I20220808001711 Practitioner - Pulmonary Disease

Medicare enrolment is recorded as approved under the provider type Practitioner - Pulmonary Disease. There are 2 separate enrolment records across 2 states (TN, VA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Tennessee and Virginia. The practice address on file is in Newport News, VA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

TN Tennessee
Licence
58778
Specialty
Pulmonary Disease Physician
Verify with the TN board →
VA Virginia practice address
Licence
0101274779
Specialty
Pulmonary Disease Physician
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pulmonary Disease covers

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. NUCC Health Care Provider Taxonomy, code 207RP1001X
Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RP1001X Pulmonary Disease Physician Pulmonary Disease 58778 TN
207RP1001X Pulmonary Disease Physician Pulmonary Disease 0101274779 VA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1396186466 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 17, 2013
Last updatedJul 26, 2022
StatusActive
Sole proprietorYes
GenderMale
CredentialM.D.
Practice address 12200 WARWICK BLVD STE 290
Newport News, VA 23601
(757) 534-5454
Mailing address 856 J CLYDE MORRIS BLVD STE A
Newport News, VA 23601
The last update on file is Jul 26, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1396186466 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 9 6 1 8 6 4 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 9 6 2 8 3 4 3

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1396186466?
NPI 1396186466 is the National Provider Identifier assigned to Kaushal Patel, M.D. in Newport News, VA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pulmonary Disease cover?
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
How do I contact Kaushal Patel, M.D.?
The phone number on file with NPPES is (757) 534-5454, last updated Jul 26, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kaushal Patel, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1396186466 a valid number?
Yes. 1396186466 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.