Individual provider Active NPI

Prayag R Patel, DO

  • Physical Medicine & Rehabilitation Physician
  • Coralville, IA
National Provider Identifier
1629654132
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DO-06944 Issued in IA
Practice address
2450 Coral CT
Coralville, IA 52241-2975
Phone
(708) 768-1507
NPI assigned
Mar 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X DO-06944 IA Primary

Addresses

Primary practice location

2450 Coral CT
Coralville, IA 52241-2975

Mailing address

750 Brook Ridge Ave
North Liberty, IA 52317-8086
Phone (630) 803-7144

Other practice location 1

1940 1st Ave NE
Cedar Rapids, IA 52402-5321
Phone (319) 364-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250815002143 IA Practitioner - Physical Medicine and Rehabilitation 5395147151 Reassigns benefits to 1 organization
I20250904002175 IN Practitioner - Physical Medicine and Rehabilitation 5395147151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Midwestern University, Chicago College of Osteopathic Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Directed Rehabilitation ServicesGroup PAC ID 2860819372, 11 clinicians

Practice addresses (Care Compare)

2450 Coral CT
Coralville, IA 52241-2975
Phone (708) 768-1507

6114 Bartley Dr
Noblesville, IN 46062-6490
Phone (708) 768-1507

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-06944IAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Directed Rehabilitation Services Physical Medicine & Rehabilitation CurrentSince Jul 15, 2025 Accepting new patients

Locations

1940 1st Ave NE
Cedar Rapids, IA 52402
Phone (319) 364-5151

2450 Coral Ct
Coralville, IA 52241
Phone (319) 645-3300

10307 E County Road 100 N
Indianapolis, IN 46234
Phone (317) 273-2144

295 Westfield Rd
Noblesville, IN 46060
Phone (317) 773-3760

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1629654132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 BROOK RIDGE AVE",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178086",
            "telephone_number": "630-803-7144",
            "fax_number": "223-257-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 CORAL CT",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412975",
            "telephone_number": "708-768-1507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 1st Ave NE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524025321",
            "country_code": "US",
            "telephone_number": "319-364-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRAYAG",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "DO-06944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.