Active NPI
Pratikkumar Patel, D.O.
- Cardiovascular Disease Physician
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 92581
- Practice address
- 1412 Milstead Ave NE Ste 100
Conyers, GA 30012-3877 - Phone
- (770) 483-9330
- NPI assigned
- Jun 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | PG163291 | OR | |
| Cardiovascular Disease Physician | 207RC0000X | H87177 | MD | |
| Cardiovascular Disease Physician | 207RC0000X | 92581 | GA | Primary |
Addresses
Primary practice location
1412 Milstead Ave NE Ste 100
Conyers, GA 30012-3877
Mailing address
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 768-4906
Other practice location 1
12502 Willowbrook Rd Ste 420
Cumberland, MD 21502-6567
Phone (240) 964-8740
Other practice location 2
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 768-4906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
Hospital & facility affiliations
- Piedmont Rockdale Hospital
- Piedmont Walton Hospital
- Piedmont Newton Hospital
- Northside Hospital
- Piedmont Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PG163291 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Professional Services, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Piedmont Cardiology of Atlanta, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Upmc Western Maryland Corporation | Internal Medicine | Current | Accepting new patients |
| Upmc Western Maryland Corporation | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Past | Accepting new patients | |
| Upmc Western Maryland Health Services, LLC | Internal Medicine | Past | Accepting new patients |
Locations
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
1412 Milstead Ave NE
Ste 100
Conyers, GA 30012
Phone (770) 483-9330
2151 W Spring St
Ste B150
Monroe, GA 30655
2151 W Spring St
Ste B220
Monroe, GA 30655
Phone (770) 267-1895
1855 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 565-0648
12502 Willowbrook Rd
Ste 470
Cumberland, MD 21502
Phone (240) 964-8724
12502 Willowbrook Rd
Ste 420
Cumberland, MD 21502
Phone (240) 964-8740
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288
Organizations & group practices 7
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
Cardiovascular Disease
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1184769952
-
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
-
- General Acute Care Hospital
- Cumberland, MD
- NPI 1609831247
-
- Psychiatry Physician
- Cumberland, MD
- NPI 1285779884
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1134844764
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
-
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1306355680
-
- General Acute Care Hospital
- Monroe, GA
- NPI 1720589328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1356789200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 NW SAMARITAN DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303737",
"telephone_number": "541-768-4906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 MILSTEAD AVE NE STE 100",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123877",
"telephone_number": "770-483-9330"
}
],
"practiceLocations": [
{
"address_1": "12502 Willowbrook Rd Ste 420",
"address_purpose": "LOCATION",
"city": "Cumberland",
"state": "MD",
"postal_code": "215026567",
"country_code": "US",
"telephone_number": "240-964-8740",
"fax_number": "240-964-8741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 NW Samaritan Dr",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973303737",
"country_code": "US",
"telephone_number": "541-768-4906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "PRATIKKUMAR",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-12",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "PG163291",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "H87177",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "92581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.