Komal Pravin-Patel, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP134770 Issued in TX

Practice address

10670 N Central Expy Ste 120
Dallas, TX 75231-2130

Phone

(214) 692-8541

Fax

(214) 242-1035

NPI assigned

Sep 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Consultants in Radiology PA

  • Diagnostic Radiology Physician
  • Hurst, TX
  • NPI 1922034602
  NPD (past)

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1376061820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10670 N CENTRAL EXPY STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312130",
            "telephone_number": "214-692-8541",
            "fax_number": "214-242-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10670 N CENTRAL EXPY STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312130",
            "telephone_number": "214-692-8541",
            "fax_number": "214-242-1035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4510 Medical Center Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750691605",
            "country_code": "US",
            "telephone_number": "972-547-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRAVIN-PATEL",
        "first_name": "KOMAL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-04-14",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Pratt, MD
• Damian J Pratt, DC
• Michael Albert Pratt, MD
• Mileena Marie Pratt, DNP, NNP-BC
• Nara Prapan Pravat, D.O.
• Praxeo Health, LLC
• Taylor L Preas, PTA
• Melanie Prebis, PA-C
• Socorro Preciado, LPC
• Precious Care (HCS)

• Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.