Individual provider Active NPI

Pragnesh Patel, MD

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1386682441
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301070713 Issued in MI
Practice address
4201 St Antoine, Ste 5B
DRH Rosa Parks Wellness Institute for Sr Health
Detroit, MI 48201-2153
Phone
(313) 745-1741
Fax
(313) 745-8165
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301070713 MI Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 4301070713 MI
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 4301070713 MI

Addresses

Primary practice location

4201 St Antoine, Ste 5B
DRH Rosa Parks Wellness Institute for Sr Health
Detroit, MI 48201-2153

Mailing address

1560 E Maple Rd
Suite 400-Credentialing
Troy, MI 48083-1138
Phone (313) 745-1741

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000781 MI Practitioner - Internal MedicinePractitioner - Sleep MedicinePractitioner - Geriatric Medicine 4385673714 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
B N Nandish MD PC IncGroup PAC ID 9830100635, 3 clinicians
Dr Pragnesh Patel PLCGroup PAC ID 2769812163, 2 clinicians
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-3077

36975 Five Mile Rd
Livonia, MI 48154-1871
Phone (734) 464-0600

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (888) 264-0102

Hospital & facility affiliations

  • Parrish Home Healthcare Home health agency, Southfield, MI, CCN 237474
  • Detroit Receiving Hospital Hospital, Detroit, MI, CCN 230273
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • Harper University Hospital Hospital, Detroit, MI, CCN 230104
  • Marywood Nursing Care Center Nursing home, Livonia, MI, CCN 235530
  • Mission Point Nursing & Physical Rehabilitation Ce Nursing home, Detroit, MI, CCN 235454

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301070713MIMDIndependent Medical Examiner Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group Internal Medicine CurrentSince Oct 1, 2006 Accepting new patients
University Physician Group CurrentSince Oct 1, 2006 Accepting new patients
BN Nandish MD PC Inc Internal Medicine CurrentSince Sep 27, 2021 Accepting new patients
Marian Village Corporation Past Accepting new patients
Mission Point of Elmwood LLC Past Accepting new patients
University Physician Group Past Accepting new patients

Locations

50 E Canfield St
Detroit, MI 48201
Phone (313) 577-9704

6071 W Outer Dr
#7E
Detroit, MI 48235
Phone (313) 966-4797

4201 Saint Antoine St
Ste 5B
Detroit, MI 48201
Phone (313) 745-1741

6071 W Outer Dr
Ste 7
Detroit, MI 48235
Phone (313) 966-3300

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

14555 Levan Rd
Ste 308
Livonia, MI 48154
Phone (734) 288-3370

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

1560 E Maple Rd
Ste 400
Troy, MI 48083

Interoperability endpoints

  • Direct secure messaging: ppatel428529@direct.hfhs.org
  • Direct secure messaging: ppatel4@direct.dmc.org

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.

Hospital & facility affiliations 6

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1386682441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD",
            "address_2": "SUITE 400-CREDENTIALING",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831138",
            "telephone_number": "313-745-1741",
            "fax_number": "313-745-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 ST ANTOINE, STE 5B",
            "address_2": "DRH ROSA PARKS WELLNESS INSTITUTE FOR SR HEALTH",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-1741",
            "fax_number": "313-745-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRAGNESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301070713",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301070713",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4301070713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.