Dr. Kapilkumar N. Patel
- Gender: Male
- Experience: 20 years
- Graduation year: 2001
- Sole propriator: No
- NPI: 1356416531
Dr. Kapilkumar N. Patel M.D.
Pulmonologist
He is located at Medical Center Boulevard in Winston Salem, NC 27157. Can help patients with the following: Atherosclerosis, Edema, Hot Flashes, Inguinal Hernia, Prescription Refill, Tuberculosis (TB). His National Provider Identifier (NPI) number is 1356416531. Appointment can be made via the phone number (336) 716-4649. He is affiliated with 4 practices and 3 hospitals.
Conditions treated
Dr. Kapilkumar N. Patel, being an pulmonologist, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Kapilkumar N. Patel.
- Abdominal Pain
- Acute Pain
- Alpha-1 Antitrypsin Deficiency (AATD)
- Anemia
- Arthritis
- Asbestosis
- Asthma
- Atherosclerosis
- Bladder Control
- Blood Clots
- Bronchiectasis
- Bronchitis
- Chest Pain
- Cholecystitis
- Chronic Cough
- Chronic Obstructive Pulmonary Disease (COPD)
- Collapsed Lung
- Common Cold
- Cryptococcosis
- Cystic Fibrosis (CF)
- Cystitis
- Diarrhea
- Edema
- Embolism
- Emphysema
- Fever
- Gastroesophageal Reflux Disease (GERD)
- General Care
- Headache
- Heart Disease
- Hiatal Hernia
- High Blood Pressure
- Hot Flashes
- Hyperlipidemia
- Hyponatremia
- Influenza
- Inguinal Hernia
- Lung Cancer
- Migraine
- Nausea and Vomiting
- Obesity
- Osteoporosis
- Peptic Ulcer
- Pleural Effusion
- Pleurisy
- Pneumonia
- Prescription Refill
- Pulmonary Aspiration
- Pulmonary Embolism (PE)
- Pulmonary Fibrosis (PF)
- Pulmonary Hypertension (PH)
- Sarcoidosis
- Sleep Apnea
- Sleep Disorders
- Smoking and Quitting Smoking
- Tuberculosis (TB)
- Urethritis
- Urinary Tract Infection (UTI)
Procedures Performed by Dr. Kapilkumar N. Patel
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Kapilkumar N. Patel as in-network for the following 2026 plans.
Health plans
Ambetter of North Carolina
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 29 plans from Ambetter of North Carolina
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Clear Silver with $0 Insulin Options | HMO · Silver | Preferred | Accepting new patients |
| Complete Gold | HMO · Gold | Preferred | Accepting new patients |
| Complete Gold + Vision + Adult Dental | HMO · Gold | Preferred | Accepting new patients |
| Complete Gold with Atrium Health | HMO · Gold | Preferred | Accepting new patients |
| Complete Gold with Atrium Health + Vision + Adult Dental | HMO · Gold | Preferred | Accepting new patients |
| Elite Bronze | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Elite Bronze + Vision + Adult Dental | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Elite Bronze with Atrium Health | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Elite Bronze with Atrium Health + Vision + Adult Dental | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options | HMO · Silver | Preferred | Accepting new patients |
| Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental | HMO · Silver | Preferred | Accepting new patients |
| Everyday Bronze | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Everyday Bronze + Vision + Adult Dental | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Everyday Bronze with Atrium Health | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Everyday Bronze with Atrium Health + Vision + Adult Dental | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Focused Silver with Atrium Health | HMO · Silver | Preferred | Accepting new patients |
| Focused Silver with Atrium Health + Vision + Adult Dental | HMO · Silver | Preferred | Accepting new patients |
| Standard Expanded Bronze | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Standard Expanded Bronze + Vision + Adult Dental | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Standard Expanded Bronze with Atrium Health | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Standard Expanded Bronze with Atrium Health + Vision + Adult Dental | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Standard Gold | HMO · Gold | Preferred | Accepting new patients |
| Standard Gold + Vision + Adult Dental | HMO · Gold | Preferred | Accepting new patients |
| Standard Gold with Atrium Health | HMO · Gold | Preferred | Accepting new patients |
| Standard Gold with Atrium Health + Vision + Adult Dental | HMO · Gold | Preferred | Accepting new patients |
| Standard Silver | HMO · Silver | Preferred | Accepting new patients |
| Standard Silver + Vision + Adult Dental | HMO · Silver | Preferred | Accepting new patients |
| Standard Silver with Atrium Health | HMO · Silver | Preferred | Accepting new patients |
| Standard Silver with Atrium Health + Vision + Adult Dental | HMO · Silver | Preferred | Accepting new patients |
AmeriHealth Caritas Next
Network data as of Sep 11, 2026, as reported by the insurer.
Show all 8 plans from AmeriHealth Caritas Next
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| AmeriHealth Caritas Next Bronze Essential + No Referrals | HMO · Bronze | Preferred | Accepting new patients |
| AmeriHealth Caritas Next Bronze Premier + No Referrals | HMO · Expanded Bronze | Preferred | Accepting new patients |
| AmeriHealth Caritas Next Bronze Signature + No Referrals | HMO · Expanded Bronze | Preferred | Accepting new patients |
| AmeriHealth Caritas Next Gold Premier + No Referrals | HMO · Gold | Preferred | Accepting new patients |
| AmeriHealth Caritas Next Gold Signature + No Referrals | HMO · Gold | Preferred | Accepting new patients |
| AmeriHealth Caritas Next Silver Essential + No Referrals | HMO · Silver | Preferred | Accepting new patients |
| AmeriHealth Caritas Next Silver Premier + No Referrals | HMO · Silver | Preferred | Accepting new patients |
| AmeriHealth Caritas Next Silver Signature + No Referrals | HMO · Silver | Preferred | Accepting new patients |
Oscar Health Plan of North Carolina, Inc
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 22 plans from Oscar Health Plan of North Carolina, Inc
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze Classic 4700 | HMO · Expanded Bronze | Preferred | Not accepting new patients |
| Bronze Classic 4700 | with Atrium Health | HMO · Expanded Bronze | Preferred | Not accepting new patients |
| Bronze Classic Standard | HMO · Expanded Bronze | Preferred | Not accepting new patients |
| Bronze Classic Standard | with Atrium Health | HMO · Expanded Bronze | Preferred | Not accepting new patients |
| Bronze Elite + PCP Saver Plus | HMO · Expanded Bronze | Preferred | Not accepting new patients |
| Bronze Elite + PCP Saver Plus | with Atrium Health | HMO · Expanded Bronze | Preferred | Not accepting new patients |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health | HMO · Expanded Bronze | Preferred | Not accepting new patients |
| Bronze Simple Chronic Care CKM | with Atrium Health | HMO · Expanded Bronze | Preferred | Not accepting new patients |
| Bronze Simple Diabetes | with Atrium Health | HMO · Expanded Bronze | Preferred | Not accepting new patients |
| Gold Classic Standard | HMO · Gold | Preferred | Not accepting new patients |
| Gold Classic Standard | with Atrium Health | HMO · Gold | Preferred | Not accepting new patients |
| Silver Classic | HMO · Silver | Preferred | Not accepting new patients |
| Silver Classic Standard | HMO · Silver | Preferred | Not accepting new patients |
| Silver Classic Standard | with Atrium Health | HMO · Silver | Preferred | Not accepting new patients |
| Silver Classic | with Atrium Health | HMO · Silver | Preferred | Not accepting new patients |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health | HMO · Silver | Preferred | Not accepting new patients |
| Silver Simple Chronic Care CKM | with Atrium Health | HMO · Silver | Preferred | Not accepting new patients |
| Silver Simple Diabetes | HMO · Silver | Preferred | Not accepting new patients |
| Silver Simple Diabetes | with Atrium Health | HMO · Silver | Preferred | Not accepting new patients |
| Silver Simple PCP Saver | HMO · Silver | Preferred | Not accepting new patients |
| Silver Simple PCP Saver | with Atrium Health | HMO · Silver | Preferred | Not accepting new patients |
| Silver Simple Women's Health with Menopause Benefits | with Atrium Health | HMO · Silver | Preferred | Not accepting new patients |
UnitedHealthcare
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 13 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals | HMO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard (No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard+ Dental + Vision (No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Standard (No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard (No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value ($0 Virtual Urgent Care, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Kapilkumar N. Patel is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Kapilkumar N. Patel is enrolled to bill Medicare as a Practitioner - Critical Care (intensivists) (also registered under: Practitioner - Pulmonary Disease) .
Bills through: Orlando Health Medical Group Inc
Based on Medicare's public enrollment records as of Sep 29, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Gilead Sciences Inc. | $5049 |
| Gilead Sciences | $3091 |
| The Medicines Company | $223 |
Other
| Promotional Speaking or Service | $4155 |
| Consulting | $2250 |
| Food and Beverage | $1728 |
| Travel and Lodging | $1260 |
Studies
Graduated in 2001Additional Specialities
- Internist
Affiliated practices
Affiliated hospitals
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Questions & Answers
What conditions does Dr. Kapilkumar N. Patel treat?
Dr. Kapilkumar N. Patel provides treatment for Atherosclerosis, Edema, Hot Flashes, Inguinal Hernia, Prescription Refill, Tuberculosis (TB). For the full list see this list.
Does Dr. Kapilkumar N. Patel accept patients with Ambetter of North Carolina?
Yes, Dr. Kapilkumar N. Patel is listed in-network for Ambetter of North Carolina through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
Does Dr. Kapilkumar N. Patel have affiliation with practices?
Dr. Kapilkumar N. Patel is affiliated with University Medical Service Association. For the full list of practices see this list.
Where can you meet with Dr. Kapilkumar N. Patel?
Dr. Kapilkumar N. Patel's office is located at Medical Center Boulevard in Winston Salem, NC 27157.
Has Dr. Kapilkumar N. Patel affiliation with hospitals?
Dr. Kapilkumar N. Patel is affiliated with TAMPA GENERAL HOSPITAL. For the full list of hospitals see this list.