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

Kruti Hemeshkumar Dave

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114617057

Kruti Hemeshkumar Dave is a Physician Assistant in Colfax, North Carolina. Qualified in 2023, 3 years ago. Practices with Mmc Hematology Oncology Fpp, a 15-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023

Practice location Address checks out

4600 Owls View Ct
Colfax, NC 27235-9868
Phone: (336) 587-4915
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NC)

Record details

NPI number1114617057
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 12, 2023
Last updated in NPPESMay 12, 2023
Certification dateMay 12, 2023
Mailing address4600 Owls View Ct, Colfax, NC 27235-9868

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mmc Hematology Oncology Fpp — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount