PRUTHA PATEL MD
NPI 1043831274
Hospitalist in Nashville, TN
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 Vanderbilt University Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
7Medicare enrollment records show Prutha Patel reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Nashville, TN 37232
- Reassigned Medicare billing, Tennessee enrollment
- 4,711 clinicians in this Medicare group
Asheville, NC 28803
- Reassigned Medicare billing, North Carolina enrollment
- 2,998 clinicians in this Medicare group
Raeford, NC 28376
- Reassigned Medicare billing, North Carolina enrollment
- 906 clinicians in this Medicare group
Carolina Shores, NC 28467
- Reassigned Medicare billing, North Carolina enrollment
- 710 clinicians in this Medicare group
Binghamton, NY 13905
- Reassigned Medicare billing, New York enrollment
- 528 clinicians in this Medicare group
Brooklyn, NY 11212
- Reassigned Medicare billing, New York enrollment
- 782 clinicians in this Medicare group
Brooklyn, NY 11213
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Interfaith Professional Physician Services PC
- 635 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Vanderbilt University Medical Center
Acute Care Hospitals · Nashville, TNPhysician 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.
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.
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
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.
Which organizations bill Medicare for Prutha Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prutha Patel reassigns Medicare benefits to 7 organizations: Vanderbilt University Medical Center (Nashville, TN), Novant Health Medical Group, LLC (Asheville, NC), Cumberland County Hospital System Inc (Raeford, NC), Novant Health Medical Group Coastal Region, LLC (Carolina Shores, NC), United Medical Associates PC (Binghamton, NY) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prutha Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Prutha Patel accept?
Health plans from Cigna Healthcare 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 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Prutha Patel, MD · NPI 1043831274
Hospitalist physician in Nashville, Tennessee. Individual provider, active in the CMS NPPES registry since April 28, 2020.
## Identity
- **NPI:** 1043831274 (Entity type: Individual)
- **Enumerated:** April 28, 2020
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 74062 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 3601 THE VANDERBILT CLINIC, Nashville, TN 37232-0001
- **Phone:** (615) 322-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Vanderbilt University Medical Center (NPI 1104202761, Nashville, TN); Novant Health Medical Group, LLC (NPI 1578342861, Asheville, NC); Cumberland County Hospital System Inc (NPI 1447255328, Raeford, NC); Novant Health Medical Group Coastal Region, LLC (NPI 1801565684, Carolina Shores, NC); United Medical Associates PC (NPI 1013972801, Binghamton, NY); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 9, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1043831274) · Data from the CMS NPPES public registry.