Individual provider Active NPI

Pratik Patel, OD

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1134656366
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA3115 Issued in MD
Practice address
1800 Orleans St
Baltimore, MD 21287-0010
Phone
(410) 933-1340
NPI assigned
May 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008739-1 NY
Optometrist 152W00000X TA3115 MD Primary
Optometrist 152W00000X OPT.6572 OH

Addresses

Primary practice location

1800 Orleans St
Baltimore, MD 21287-0010

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 955-5000

Other practice location 1

1305 York Ave Fl 11
New York, NY 10021
Phone (646) 962-2020

Other practice location 2

915 Olentangy River Rd
Columbus, OH 43212-3153
Phone (614) 293-8116

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address prp9043@direct.nyp.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180913001100 NY Practitioner - Optometry 6800146713 Reassigns benefits to 1 organization
I20251122000370 MD Practitioner - Optometry 6800146713 Reassigns benefits to 1 organization
I20251122000479 DC Practitioner - Optometry 6800146713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

10751 Falls Rd
Lutherville, MD 21093-4517
Phone (410) 955-3663

10753 Falls Rd
Lutherville, MD 21093-4535
Phone (410) 583-2774

10755 Falls Rd
Lutherville, MD 21093-4515
Phone (443) 997-0400

10803 Falls Rd
Lutherville, MD 21093-4502
Phone (410) 616-7645

10803 Falls Rd
Lutherville, MD 21093-4518
Phone (410) 614-7650

10803 Falls Rd Pavilion III
Greenspring Station ASC
Lutherville, MD 21093-4502
Phone (410) 955-6108

1305 York Ave
Suite 11
New York, NY 10021-5663
Phone (646) 962-2020

161 Thomas Johnson Dr
Suite 275
Frederick, MD 21702-4314
Phone (301) 620-9268

2360 W Joppa Rd
Joppa Concourse
Lutherville, MD 21093-4639
Phone (410) 616-7596

2360 W Joppa Rd
Joppa Concourse
Lutherville, MD 21093-4664
Phone (410) 933-7495

97 Thomas Johnson Dr
Frederick, MD 21702-4373
Phone (301) 662-0011

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA3115MDMDOptometrist
TUV008739-1NYMDOptometrist
OPT.6572OHMDOptometrist

Practice roles (9 of 13)

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Current Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Optometrist CurrentSince Oct 9, 2025 Accepting new patients
Weill Medical College of Cornell CurrentSince Aug 5, 2018 Accepting new patients
Johns Hopkins University Optometrist CurrentSince Oct 9, 2025 Accepting new patients
Johns Hopkins University Optometrist Current Accepting new patients
Johns Hopkins University CurrentSince Oct 9, 2025 Accepting new patients
Weill Medical College of Cornell Optometrist CurrentSince Aug 5, 2018 Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

10751 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

1305 York Ave
Fl 11
New York, NY 10021
Phone (646) 962-2020

1305 York Ave
#11
New York, NY 10021
Phone (646) 962-2020

525 E 68th St
Ste 856
New York, NY 10065
Phone (212) 620-3916

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: prp9043@direct.nyp.org

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1134656366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-955-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ORLEANS ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870010",
            "telephone_number": "410-933-1340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 York Ave Fl 11",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10021",
            "country_code": "US",
            "telephone_number": "646-962-2020",
            "fax_number": "646-962-0602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Olentangy River Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432123153",
            "country_code": "US",
            "telephone_number": "614-293-8116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRATIK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008739-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA3115",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.6572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "1305 York Ave Fl 11",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "1305 York Ave Fl 11",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prp9043@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "1305 York Ave Fl 11",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.