NPIMap

Individual provider Active NPI

Pravin P Patel, MD

  • Family Medicine Physician
  • Coldwater, MS
National Provider Identifier
1124098603
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MS07838 Issued in MS
Practice address
423 Central Ave
Coldwater, MS 38618
Phone
(662) 622-7011
Fax
(662) 622-0257
NPI assigned
Jan 25, 2006
Last updated
Apr 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MS07838 MS Primary

Addresses

Primary practice location

423 Central Ave
Coldwater, MS 38618

Mailing address

PO Box 1060
Coldwater, MS 38618-1060
Phone (662) 622-7011

Other identifiers 4

IdentifierTypeStateIssuer
09015376MedicaidMS
080183850OtherMSRAILROAD MEDICARE
0130244OtherMSUNITED HEALTH CARE
00122592MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080514000021 MS Practitioner - Family Practice 4789753963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pravinchandra P. Patel, MD P.C.Group PAC ID 8325117500, 8 clinicians

Practice addresses (Care Compare)

423 Central Ave
Coldwater, MS 38618-3915
Phone (662) 622-7011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions14
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MS07838MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pravinchandra P. Patel, MD P.C. Family Medicine CurrentSince Sep 25, 2000 Accepting new patients
Multimodality Pain & Wellness Center PastSince Nov 3, 2019 Accepting new patients

Locations

423 Central Ave
Coldwater, MS 38618
Phone (662) 294-2241

6965 Oak Forest Dr
Olive Branch, MS 38654
Phone (662) 622-7011

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIHEBD
  • Direct secure messaging: pravin.patel@patelfamily.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1124098603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "COLDWATER",
            "state": "MS",
            "postal_code": "386181060",
            "telephone_number": "662-622-7011",
            "fax_number": "662-622-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 CENTRAL AVE",
            "city": "COLDWATER",
            "state": "MS",
            "postal_code": "38618",
            "telephone_number": "662-622-7011",
            "fax_number": "662-622-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRAVIN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "MS07838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015376",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080183850",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0130244",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122592",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MS

Sources for this page

Verify at the official NPI Registry.