Krunal Patel, M.D.
NPI 1295056950 · Gastroenterology Physician · Worcester, MA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Krunal Patel, M.D. is a Gastroenterology Physician provider in Worcester, MA (NPI 1295056950).
Provider details
- NPI number
- 1295056950
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 245527 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
526 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 83 | $132 |
| Moderate Sedation Services Provided By the Same Physician Or Other Qualified Health Care Professional Performing a Gastrointestinal Endoscopic Service That Sedation Supports, Requiring the Presence of an Independent Trained Observer to Assist in the MonitoG0500 | 71 | $6 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 41 | $79 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 39 | $94 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 37 | $253 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 97 | 96 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-C | 74 | 74 |
| Omeprazole | 59 | 20 |
| 0.9 % Sodium Chloridebrand: Sodium Chloride | 44 | — |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 39 | 38 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 25 | 25 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$310 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (5)
- 159 Union StMarlborough, MA 01752-1274Phone: (508) 486-5454
- 157 Union StMarlborough, MA 01752-1228Phone: (508) 334-3068Fax: (774) 443-7028
- 28 Newton StSouthborough, MA 01772-1215Phone: (508) 334-3068
- 21 Eastern AveWorcester, MA 01605-3094Phone: (508) 334-8036Fax: (508) 334-8437
- 210 Lincoln StWorcester, MA 01605-2529Phone: (508) 754-1956Fax: (508) 793-2150
Registry dates
- Enumerated
- 2010-06-17
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Frequently asked questions
- What is Krunal Patel's NPI number?
- Krunal Patel's National Provider Identifier (NPI) is 1295056950, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Krunal Patel's specialty?
- Krunal Patel is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Krunal Patel located?
- Krunal Patel's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655-0002.
- What is Krunal Patel's phone number?
- The practice phone number listed in the NPPES registry for Krunal Patel is (508) 334-3068.
- Does Krunal Patel accept Medicare?
- Krunal Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Krunal Patel's NPI active?
- Yes — Krunal Patel's NPI (1295056950) is active in the NPPES registry as of the last update on 2026-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.