Pragnesh A Patel, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

MD0000045390 Issued in TN

Practice address

120 Hospital Dr Ste 260
Jefferson City, TN 37760-5283

Phone

(423) 839-2525

Fax

(423) 839-2424

NPI assigned

Jan 3, 2007

Last updated

Mar 15, 2023By 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 TN

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesis Heart and Vascular Associates, PLLCGroup PAC ID 6406157320, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tennova Healthcare-Jefferson Memorial Hospital Hospital, Jefferson City, TN, CCN 440056
• Tennova Healthcare - Newport Medical Center Hospital, Newport, TN, CCN 440153
• Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Genesis Heart and Vascular Associates, PLLC

  • Cardiovascular Disease Physician
  • Jefferson City, TN
  • NPI 1376916932
  Medicare reassignment Care Compare group NPD Authorized official
• Morristown Hamblen Hospital Association

  dba Morristown Hamblen Healthcare System

  • Psychiatric Hospital Unit
  • Morristown, TN
  • NPI 1477602860
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cocke County Hma, LLC

  dba Tennova Healthcare-Newport Medical Center

  • General Acute Care Hospital
  • Newport, TN
  • NPI 1972576247
  Care Compare affiliation
• Jefferson County Hma LLC

  dba Tennova Healthcare-Jefferson Memorial Hospital

  • General Acute Care Hospital
  • Jefferson City, TN
  • NPI 1972585347
  Care Compare affiliation
• Metro Knoxville Hma LLC

  dba Tennova Healthcare North Knoxville Medical Center

  • General Acute Care Hospital
  • Powell, TN
  • NPI 1043292899
  Care Compare affiliation

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1568529006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR STE 260",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377605283",
            "telephone_number": "319-331-8323",
            "fax_number": "423-839-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR STE 260",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377605283",
            "telephone_number": "423-839-2525",
            "fax_number": "423-839-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRAGNESH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "MD0000045390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optimus Health Center, Inc. (St. Luke's Therapy Services)
• Overcome Adversity, PLLC
• Fiorello Erico Pacia Jr., PT
• Milagros Pacia
• Aaron Michael Parsons, PA-C
• Shasta Patrick, NP
• Patriot Center for Hearing Loss & Related Disorders, LLC (Happy Hearing, LLC)
• Christina Isabelle Patterson, BS/RDH
• Lance S Patton, M.D.
• People2Places

• Interventional Cardiology Physician in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• Interventional Cardiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.

Verify at the official NPI Registry.