Organization Active NPI

Dr Pragnesh Patel PLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Sterling Heights, MI
National Provider Identifier
1164068227
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
DR PRAGNESH PATEL PLC
Practice address
33811 King Richard Dr
Sterling Heights, MI 48310-6348
Phone
(586) 871-7949
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Pragnesh Jitendra Patel, MDNPI 1386682441
Title
Employee
Phone
(586) 871-7949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

33811 King Richard Dr
Sterling Heights, MI 48310-6348

Mailing address

33811 King Richard Dr
Sterling Heights, MI 48310-6348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200427002288 MI Part B Supplier - Clinic/Group Practice 2769812163 Receives reassigned benefits from 3 practitioners
Practice locations: Livonia, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1164068227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33811 KING RICHARD DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33811 KING RICHARD DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106348",
            "telephone_number": "586-871-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PRAGNESH PATEL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAGNESH",
        "authorized_official_middle_name": "JITENDRA",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "586-871-7949",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.