Pravinkumar P Patel, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD037051L Issued in PA

Practice address

3800 W 12TH St
Erie, PA 16505-3380

Phone

(814) 580-9696

Fax

(814) 520-6938

NPI assigned

Dec 8, 2011

Last updated

Mar 14, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 PA

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Redi Care Physicians, Inc

  dba Redi Care Medical Center

  • General Practice Physician
  • Easton, PA
  • NPI 1568417418
  Medicare reassignment NPD
• Interventional Pain Clinic PC

  • Specialist
  • East Stroudsberg, PA
  • NPI 1477953313
  NPD Authorized official

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1417225277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053380",
            "telephone_number": "814-580-9696",
            "fax_number": "814-520-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053380",
            "telephone_number": "814-580-9696",
            "fax_number": "814-520-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRAVINKUMAR",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-08",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD037051L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Porter Passmore, DDS
• Ryan Ann Pastewka, MSN, PMHNP, RN
• Aagna Patel
• Leeza Patel, MD
• Nishi Patel
• Pritam Patel
• Sejal Akash Patel
• Megan Ann Paterson, MA, LPC
• Pathology Associates of Erie Inc
• Pathology Associates of Erie Inc

• Specialist in Erie, PA
• Providers in Erie, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.