DR. KALYANI RONAK PATEL M.D
NPI 1336459619
Pathology - Pediatric Pathology in Seattle, WA
NPI Status: Active since October 20, 2010
Contact Information
4800 SAND POINT WAY NE
SEATTLE CHILDREN'S HOSPITAL, DEPT OF PATHOL & LAB MED
SEATTLE, WA
ZIP 98105
Phone: (206) 987-2577
- Individual
- Female
- Pathology
- Pediatric Pathology
- Accepts Insurance
- PECOS Enrolled
About KALYANI PATEL
This page provides the complete NPI Profile along with additional information for Kalyani Patel, a provider established in Seattle, Washington with a medical specialization in Pathology, focusing in pediatric pathology . The healthcare provider is registered in the NPI registry with number 1336459619 assigned on October 2010. The practitioner's primary taxonomy code is 207ZP0213X with license number 60381323 (WA). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1336459619
- Provider Name
- DR. KALYANI RONAK PATEL M.D
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4800 SAND POINT WAY NE SEATTLE CHILDREN'S HOSPITAL, DEPT OF PATHOL & LAB MED SEATTLE, WA 98105
- Location Phone
- (206) 987-2577
- Mailing Address
- 4800 SAND POINT WAY NE SEATTLE CHILDREN'S HOSPITAL, DEPT OF PATHOL & LAB MED SEATTLE, WA 98105
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-20-2010
- Last Update Date
- 07-16-2013
- Code Navigator
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
Pathology Pediatric Pathology
- Taxonomy Code
- 207ZP0213X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 60381323
- License State
- WA
- Taxonomy Description
- A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine.
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 | 207ZP0101X | Allopathic & Osteopathic Physicians | Pathology | 2010013473 (MO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear VALUE Silver - HMO
- Complete VALUE Gold - HMO
- Focused VALUE Silver - HMO
- Focused VALUE Silver + Vision + Adult Dental - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Standard Silver VALUE + Vision + Adult Dental - HMO
- Complete VALUE Gold - HMO
- Complete VALUE Silver - HMO
- Elite VALUE Bronze - HMO
- Focused VALUE Silver - HMO
- Standard Expanded Bronze VALUE - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
- Community Premier Bronze 003 (No deductible for PCP, Free Preventive Care, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Bronze 018 (No deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Gold 005 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Gold 021 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
- Community Premier Silver 020 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kalyani 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 98105 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $143.76
- Minimum New Patient Price $63.67
- Maximum New Patient Price $189.37
- Average New Patient Copayment $35.94
- Minimum New Patient Copayment $15.91
- Maximum New Patient Copayment $47.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111
- Minimum Established Patient Price $21.12
- Maximum Established Patient Price $155
- Average Established Patient Copayment $27.75
- Minimum Established Patient Copayment $5.28
- Maximum Established Patient Copayment $38.75
* 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.
Reviews for DR. KALYANI RONAK PATEL M.D
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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 | 3 | 3 | 6 | 4 | 5 | 9 | 6 | 1 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 6 | 6 | 8 | 5 | 18 | 6 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 6 + 6 + 8 + 5 + 1 + 8 + 6 + 2 + 24 = 71 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 71 = 9 | 9 |
The NPI number 1336459619 is valid because the calculated check digit 9 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 |
---|---|---|---|
1891791448 | DR. ERIC M HARVEY PHARMD Individual | Pharmacist (Pharmacotherapy) | 4800 SAND POINT WAY NE SEATTLE, WA 98105 (206) 987-1990 |
1801893086 | DR. RICHARD ALOYSIUS MOLTENI M.D. Individual | Pediatrics | 4800 SAND POINT WAY NE SEATTLE, WA 98105 (206) 987-2005 |
1114915097 | MS. LINDA A. RAMSDELL M.S. Individual | Genetic Counselor, MS | 4800 SAND POINT WAY NE M2-9 SEATTLE, WA 98105 (206) 987-2663 |
1821087321 | LISA CLAIRE SNIDERMAN KING M.SC., CGC, CCGC Individual | Genetic Counselor, MS | 4800 SAND POINT WAY NE BIOCHEMICAL GENETICS SEATTLE, WA 98105 (206) 987-1406 |
1780674200 | MS. SHANNON MARIE FITZGERALD ARNP Individual | Nurse Practitioner (Family) | 4800 SAND POINT WAY NE SEATTLE, WA 98105 (206) 987-4650 |
1144202151 | MARGARET MACMILLAN VERNON M.D. Individual | Pediatrics (Pediatric Cardiology) | 4800 SAND POINT WAY NE CHILDRENS HEART CENTER MS G-0035 SEATTLE, WA 98105 (206) 987-2127 |
1215916960 | MS. DARCI LISE STERNEN MS, CGC Individual | Genetic Counselor, MS | 4800 SAND POINT WAY NE CHILDREN'S HOSP & REG MED CTR, MEDICAL GENETICS M2-9 SEATTLE, WA 98105 (206) 987-2664 |
1235119587 | DR. KELLY J FAUCETTE M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 4800 SAND POINT WAY NE SEATTLE, WA 98105 (206) 987-2206 |
1518937978 | DR. JEFFREY ALAN CONWELL M.D. Individual | Pediatrics (Pediatric Cardiology) | 4800 SAND POINT WAY NE M/S G-0035 SEATTLE, WA 98105 (206) 987-2266 |
1255309035 | DR. WANJIKU NJOROGE MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 4800 SAND POINT WAY NE SEATTLE, WA 98105 (206) 987-3229 |
1255393328 | MS. LORI ANN MARKHAM RNC, MSN, NNP, CCRN Individual | Nurse Practitioner (Neonatal, Critical Care) | 4800 SAND POINT WAY NE MS CSB 240 SEATTLE, WA 98105 (206) 987-2248 |
1710940721 | DR. MARGARET PEARSON ADAM MD, MS Individual | Medical Genetics (Clinical Genetics (M.D.)) | 4800 SAND POINT WAY NE SEATTLE, WA 98105 (206) 987-2689 |
1083672513 | TERESA Y SOUCIE PA-C Individual | Physician Assistant | 4800 SAND POINT WAY NE SEATTLE, WA 98105 (206) 987-3717 |
1952352445 | BRIAN E SAELENS PH.D. Individual | Psychologist (Clinical) | 4800 SAND POINT WAY NE CHILDREN'S HOSPITAL & REGIONAL MEDICAL CENTER SEATTLE, WA 98105 (206) 616-1224 |
1881647055 | DR. STEVEN C ALLER M.D., PH.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 4800 SAND POINT WAY NE SEATTLE, WA 98105 (206) 987-2000 |
1649227489 | JENNIFER W LISLE MD Individual | Orthopaedic Surgery | 4800 SAND POINT WAY NE SEATTLE, WA 98105 (206) 987-2109 |
1083661631 | SOREN M GANTT MD Individual | Pediatrics (Pediatric Infectious Diseases) | 4800 SAND POINT WAY NE SEATTLE, WA 98105 (206) 987-1909 |
1407803992 | MARGARET R SCHLESINGER MD Individual | Pediatrics (Pediatric Rheumatology) | 4800 SAND POINT WAY NE SEATTLE, WA 98105 (206) 987-2057 |
1760439905 | CARRIE L HEIKE MD Individual | Pediatrics | 4800 SAND POINT WAY NE SEATTLE, WA 98105 (206) 987-2528 |
1497792261 | DR. PETER RICHARD KOLLROS MD Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 4800 SAND POINT WAY NE SEATTLE CHILDREN'S HOSPTIAL M/S B5552 SEATTLE, WA 98105 (206) 987-2078 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336459619, enumerated in the NPI registry as an "individual" on October 20, 2010
The provider is located at 4800 Sand Point Way Ne Seattle Children's Hospital, Dept Of Pathol & Lab Med Seattle, Wa 98105 and the phone number is (206) 987-2577
The provider's speciality is Pathology with taxonomy code 207ZP0213X with a focus in Pediatric Pathology
The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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 $143.76 with an average copayment of $35.94 for new patient appointments. Established patients should expect a typical charge of $111 and an average copayment of 27.75. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 20, 2010. 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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