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PRAGNESH M. PATEL MD
NPI 1053488866
Internal Medicine - Endocrinology, Diabetes & Metabolism in Pittsburg, CA

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
2220 GLADSTONE DR, SUITE 3, PITTSBURG, CA 94565(925) 432-3318(925) 432-0886 Get Directions Write a Review

NPPES record last updated: June 13, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pragnesh M. Patel Md NPPES

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

PRAGNESH M. PATEL MD (NPI 1053488866) is an individual endocrinology, diabetes & metabolism provider in Pittsburg, California, licensed in New York (248013) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1053488866
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NamePRAGNESH M. PATELCredential: MD
Location Address2220 GLADSTONE DR, SUITE 3Pittsburg, CA 94565-5123
Mailing Address2220 Gladstone Dr, Suite 3Pittsburg, CA 94565-5123 · (925) 432-3318 · Fax (925) 432-0886
Phone(925) 432-3318
Fax(925) 432-0886
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 29, 2006
Last NPPES UpdateJune 13, 2011
✔ NPI 1053488866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NY · 248013
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

2220 GLADSTONE DR, Pittsburg, CA 94565
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Other Identifiers 2

Medicare UPINH77434
Medicaid00A794170CA

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

Pragnesh M. 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 ID547153629
PECOS Enrollment IDI20050427001333
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 10

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
5,640 services57 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
993 services524 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
220 services109 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
143 services105 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
101 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94565 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers19 claims241 services$17.98 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers19 claims570 services$2.35 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims14 services$176.48 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
49 suppliers270 claims988 services$6.28 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
6 suppliers32 claims32 services$2.84 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
6 suppliers17 claims17 services$1.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

WENGANG ZHANG M.D.
Internal Medicine
2220 GLADSTONE DR, SUITE 3
PITTSBURG, CA 94565
Contra Costa County (925) 432-3318
HSIEN-WEN HSU M.D.
Internal Medicine (Pulmonary Disease)
2220 GLADSTONE DR, SUITE 3
PITTSBURG, CA 94565
Contra Costa County (925) 432-3318
MICHAEL RUSSELL M.D.
Internal Medicine
2220 GLADSTONE DR, SUITE 3
PITTSBURG, CA 94565
Contra Costa County (925) 432-3318
ANGELITA DINEROS TANGCO MD
Psychiatry & Neurology (Neurology)
2220 GLADSTONE DR, SUITE 3 SPRINGHILL MEDICAL GROUP
PITTSBURG, CA 94565
Contra Costa County (925) 432-3118
MR. KRISHNA K MOORTHY M.D.
Internal Medicine (Cardiovascular Disease)
2220 GLADSTONE DR, SUITE 3
PITTSBURG, CA 94565
Contra Costa County (925) 432-3318
KARTHIK REDDY MD
Internal Medicine (Cardiovascular Disease)
2220 GLADSTONE DR, SUITE 3
PITTSBURG, CA 94565
Contra Costa County (925) 432-3318
JOHN W. GALLO DO
Internal Medicine
2220 GLADSTONE DR, STE 3
PITTSBURG, CA 94565
Contra Costa County (925) 432-3318
DR. ALEJANDRO R PRIETO MD
Internal Medicine (Interventional Cardiology)
2220 GLADSTONE DR, SUITE 3
PITTSBURG, CA 94565
Contra Costa County (925) 432-3318

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 Pragnesh Patel's NPI number?

The NPI number for Pragnesh Patel is 1053488866. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Pragnesh Patel located?

Pragnesh Patel practices at 2220 Gladstone Dr Suite 3, Pittsburg, CA 94565. The listed phone number is (925) 432-3318.

What is Pragnesh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Pragnesh Patel enrolled in Medicare?

Yes. Pragnesh 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.

When was this NPI record last updated?

The NPPES record for Pragnesh Patel was last updated on June 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.