KARISHMA SHAILESH PATEL M.D.
NPI 1265609697
Obstetrics & Gynecology in Gaithersburg, MD
NPI Status: Active since May 14, 2008
Contact Information
501 N FREDERICK AVE
GAITHERSBURG MEDICAL CENTER
GAITHERSBURG, MD
ZIP 20877
Phone: (301) 258-7700
- Individual
- Female
- Obstetrics & Gynecology
- PECOS Enrolled
About KARISHMA PATEL
This page provides the complete NPI Profile along with additional information for Karishma Patel, a women's health care provider established in Gaithersburg, Maryland with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1265609697 assigned on May 2008. The practitioner's primary taxonomy code is 207V00000X with license number D0070780 (MD). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1265609697
- Provider Name
- KARISHMA SHAILESH PATEL M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 501 N FREDERICK AVE GAITHERSBURG MEDICAL CENTER GAITHERSBURG, MD 20877
- Location Phone
- (301) 258-7700
- Mailing Address
- 2101 E JEFFERSON ST KAISER PERMANENTE MEDICARE ENROLLMENT ROCKVILLE, MD 20852
- Mailing Phone
- (301) 816-2424
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-14-2008
- Last Update Date
- 06-21-2021
- Code Navigator
Women's health care providers like Karishma Patel treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D0070780
- License State
- MD
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | MD039584 (DC) |
| 2 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 0101249372 (VA) |
Medicare Participation & PECOS Enrollment Status
Karishma Patel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 20877 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $147.85
- Minimum New Patient Price $65.18
- Maximum New Patient Price $194.86
- Average New Patient Copayment $36.96
- Minimum New Patient Copayment $16.29
- Maximum New Patient Copayment $48.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $80.66
- Minimum Established Patient Price $21.4
- Maximum Established Patient Price $158.88
- Average Established Patient Copayment $20.16
- Minimum Established Patient Copayment $5.35
- Maximum Established Patient Copayment $39.72
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 6 | 0 | 9 | 6 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 12 | 0 | 18 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 2 + 0 + 1 + 8 + 6 + 1 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1265609697 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124105549 | DR. ANGELA D THOMPSON MD Individual | Obstetrics & Gynecology | 501 N FREDERICK AVE KAISER PERMANENTE MEDICAL CENTER GAITHERSBURG, MD 20877 (301) 258-7700 |
| 1497828701 | DR. JEFFREY A SCHULDENFREI MD Individual | Dermatology | 501 N FREDERICK AVE GAITHERSBURG, MD 20877 (301) 258-7180 |
| 1770634446 | DR. VICTOR H LAM DDS Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 501 N FREDERICK AVE SUITE 102 GAITHERSBURG, MD 20877 (301) 740-3660 |
| 1548307309 | M&D OPTICAL Organization | Durable Medical Equipment & Medical Supplies (Customized Equipment) | 501 N FREDERICK AVE GAITHERSBURG, MD 20877 (301) 926-3933 |
| 1740313626 | MS. PHILSAMMA THOMAS CRNP Individual | Nurse Practitioner | 501 N FREDERICK AVE GAITHERSBURG, MD 20877 (301) 258-7700 |
| 1780812800 | JUN TAE BAE, DDS, LLC Organization | Dentist (General Practice) | 501 N FREDERICK AVE SUITE #109 GAITHERSBURG, MD 20877 (301) 527-8664 |
| 1104058981 | DR. ANNA SCHOR PHARM.D., BCPS Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 501 N FREDERICK AVE GAITHERSBURG, MD 20877 (301) 258-7188 |
| 1417151259 | MOHSIN SHEIKH MD Individual | Physical Medicine & Rehabilitation (Pain Medicine) | 501 N FREDERICK AVE SUITE 302 GAITHERSBURG, MD 20877 (301) 591-8261 |
| 1245573294 | PAIN, SPINE & REHAB ASSOCIATES, LLC Organization | Physical Medicine & Rehabilitation (Pain Medicine) | 501 N FREDERICK AVE SUITE302 GAITHERSBURG, MD 20877 (301) 591-8261 |
| 1740610690 | HUISON QUON D.D.S. Individual | Dentist | 501 N FREDERICK AVE #206 GAITHERSBURG, MD 20877 (301) 337-6211 |
| 1578966883 | THE BRAMBLE NETWORK Organization | Social Worker (Clinical) | 501 N FREDERICK AVE SUITE 300 GAITHERSBURG, MD 20877 (301) 651-4594 |
| 1184015372 | ERIN POTASH LCPAT, ATR-BC Individual | Counselor (Mental Health) | 501 N FREDERICK AVE SUITE 300 GAITHERSBURG, MD 20877 (240) 271-5788 |
| 1174680656 | KAMALA A FOSTER M.D. Individual | Internal Medicine | 501 N FREDERICK AVE SUITE 304 GAITHERSBURG, MD 20877 (301) 330-3541 |
| 1245599026 | FOSTER MEDICAL CARE LLC Organization | Internal Medicine | 501 N FREDERICK AVE SUITE 304 GAITHERSBURG, MD 20877 (301) 330-3541 |
| 1265749527 | COMFORT TETTEH LCSW-C Individual | Social Worker (Clinical) | 501 N FREDERICK AVE STE 300 GAITHERSBURG, MD 20877 (240) 561-2274 |
| 1245771567 | STARLIGHT CHILD AND FAMILY COUNSELING, LLC Organization | Social Worker (Clinical) | 501 N FREDERICK AVE SUITE 300 GAITHERSBURG, MD 20877 (301) 624-9838 |
| 1881147403 | KRISTIN PETRONIO REISINGER PA-C Individual | Physician Assistant | 501 N FREDERICK AVE SUITE #302 GAITHERSBURG, MD 20877 (301) 591-8261 |
| 1851390926 | DR. TANYA Y COTHRAN-ROSS MD Individual | Pediatrics | 501 N FREDERICK AVE GAITHERSBURG, MD 20877 (301) 258-7158 |
| 1538232723 | DR. BRIAN C SHEN MD Individual | Internal Medicine | 501 N FREDERICK AVE KAISER PERMANENTE GAITHERSBURG MEDICAL CENTER GAITHERSBURG, MD 20877 (301) 258-7245 |
| 1386921765 | DR. TRACY BLOOM PSYD Individual | Psychologist (Clinical) | 501 N FREDERICK AVE GAITHERSBURG, MD 20877 (240) 388-9409 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265609697, enumerated in the NPI registry as an "individual" on May 14, 2008
The provider is located at 501 N Frederick Ave Gaithersburg Medical Center Gaithersburg, Md 20877 and the phone number is (301) 258-7700
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $147.85 with an average copayment of $36.96 for new patient appointments. Established patients should expect a typical charge of $80.66 and an average copayment of 20.16. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 14, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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