Pravin P Patel, M.D.,

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

143535 Issued in NY

Practice address

3455 Boston Rd
Bronx, NY 10469-2508

Phone

(718) 798-2236

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Premier Medical Associate PC

  • Clinic/Center
  • Bronx, NY
  • NPI 1174672240

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1679557292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 STEPHENS DR",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105916110",
            "telephone_number": "914-316-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692508",
            "telephone_number": "718-798-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRAVIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "143535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00689125",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Payal Patel, PA-C
• Prachi Patel
• Pragna Bhupendra Patel, PHARMD
• Pragnesh Patel, RPA-C
• Prakash B Patel, MD
• Priti P. Patel, RPH
• Priya B Patel, D.O.
• Priyanka Govani Patel, PA-C
• Puja Patel, O.D.
• Puja Patel, MD

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.