Kunal Patel, M.D.
NPI 1548600240 · Pulmonary Disease Physician · Pleasant Prairie, WI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kunal Patel, M.D. is a Pulmonary Disease Physician provider in Pleasant Prairie, WI (NPI 1548600240).
Provider details
- NPI number
- 1548600240
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036141107 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
898 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 220 | $194 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 186 | $120 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 115 | $110 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 62 | $73 |
| 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'SG2211 | 49 | $15 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 117 | 40 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 116 | 53 |
| Prednisone | 70 | 42 |
| Montelukast Sodium | 44 | 21 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 40 | — |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 33 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$374 across 13 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
Registry dates
- Enumerated
- 2013-06-27
- Last updated
- 2024-01-24
- Certified
- 2024-01-24
Frequently asked questions
- What is Kunal Patel's NPI number?
- Kunal Patel's National Provider Identifier (NPI) is 1548600240, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kunal Patel's specialty?
- Kunal Patel is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Kunal Patel located?
- Kunal Patel's practice location on file with NPPES is 9555 76th St, Pleasant Prairie, WI 53158-1984.
- What is Kunal Patel's phone number?
- The practice phone number listed in the NPPES registry for Kunal Patel is (262) 577-8300.
- Does Kunal Patel accept Medicare?
- Kunal Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kunal Patel's NPI active?
- Yes — Kunal Patel's NPI (1548600240) is active in the NPPES registry as of the last update on 2024-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.