Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kavita Shanker-Patel, MD

Individual provider Family Medicine Physician · NPI 1124384789

Kavita Shanker-Patel, MD is a Family Practice in Waxhaw, North Carolina. Qualified in 2012, 14 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and North Carolina.

Years since qualifying
14
Licensed in
IL, NC
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3614 Providence Rd S Ste 200
Waxhaw, NC 28173-6310
Phone: (704) 384-8640
Fax: (704) 384-8650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 245 S Gary Ave, Bloomingdale, IL 60108-2228 — (630) 924-4009

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2022-01815 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036138106 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125061830 (IL)

Record details

NPI number1124384789
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2012
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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