PRUTHA PATEL MD
NPI 1043831274
Hospitalist in Nashville, TN

Active since April 28, 2020PECOS EnrolledAccepts Medicare Assignment
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-5000 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2025, Jul 8, 2025, May 20, 2025 and 1 more (4 updates tracked since 2023).

About Prutha Patel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRUTHA PATEL MD (NPI 1043831274) is an individual hospitalist provider in Nashville, Tennessee, licensed in Tennessee (74062) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with United Health Services Hospitals, Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1043831274
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NamePRUTHA PATELCredential: MD
Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-0001
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 28, 2020
Last NPPES UpdateOctober 9, 20254 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
NPI 1043831274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in TN · 74062 Licensed in NC · 2023-01936 Licensed in NY · 332831
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 332831 (NY)
3601 THE VANDERBILT CLINIC, Nashville, TN 37232

Secondary Practice Locations 3

Location 11638 Owen DriveFayetteville, NC 28304-3424 · Phone (910) 615-5095
Location 21218 Walter Reed RdFayetteville, NC 28304-4440 · Phone (910) 615-3960
Location 333-57 Harrison StJohnson City, NY 13790-2107 · Phone (607) 763-6622

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Prutha Patel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002220746
PECOS Enrollment IDI20241209000835, I20251018000698
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services55 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Cardiology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner (Acute Care)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner (Pediatrics)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Internal Medicine (Pulmonary Disease)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Family Medicine
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Psychologist (Clinical Child & Adolescent)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Surgery (Surgical Oncology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prutha Patel's NPI number?

The NPI number for Prutha Patel is 1043831274. It was assigned to this individual provider in the NPPES registry on April 28, 2020.

Where is Prutha Patel located?

Prutha Patel practices at 3601 The Vanderbilt Clinic, Nashville, TN 37232. The listed phone number is (615) 322-5000.

What is Prutha Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Prutha Patel enrolled in Medicare?

Yes. Prutha Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Prutha Patel accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Insurance Company list Prutha Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Prutha Patel affiliated with any hospitals?

According to CMS data, Prutha Patel is affiliated with United Health Services Hospitals, Inc and Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Prutha Patel was last updated on October 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.