DR. PRAGNESHKUMAR PATEL MD
NPI 1073075842
Internal Medicine in Flushing, NY

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
4500 PARSONS BLVD, FLUSHING, NY 11355(718) 670-5000 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 8, 2026, Mar 24, 2026, Jul 13, 2022 and 1 more (4 updates tracked since 2019).

About Dr. Pragneshkumar Patel Md NPPES

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

DR. PRAGNESHKUMAR PATEL MD (NPI 1073075842) is an individual internal medicine provider in Flushing, New York, licensed in Tennessee (64966) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Essentia Health, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1073075842
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRAGNESHKUMAR PATELCredential: MD
Location Address4500 PARSONS BLVDFlushing, NY 11355-2205
Mailing Address2904 Carisbrooke DrMt Juliet, TN 37122-2440 · (929) 232-5471
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 2, 2019
Last NPPES UpdateApril 8, 20264 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
NPI 1073075842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TN · 64966
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4500 PARSONS BLVD, Flushing, NY 11355

Other Names 1

Other Name (5)Dr. Pragnesh Patel Md

Secondary Practice Location 1

Location 1300 20th Ave N Ste G1Nashville, TN 37203-2132 · Phone (615) 941-8550

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

Dr. Pragneshkumar 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 ID6507248242
PECOS Enrollment IDI20220728000375, I20241115002503
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
318 services159 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
301 services133 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
156 services154 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.
74 services73 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Henry County Medical Center

Acute Care Hospitals · Paris, TN
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440132
Location301 Tyson AvParis, TN 38242 · Henry County
Emergency services

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Radiology (Diagnostic Radiology)
4500 PARSONS BLVD, FLUSHING HOSPITAL DEPARTMENT OF RADIOLOGY
FLUSHING, NY 11355
Pediatrics (Neonatal-Perinatal Medicine)
4500 PARSONS BLVD, DEPARTMENT OF PEDIATRICS
FLUSHING, NY 11355
Pediatrics
4500 PARSONS BLVD, DEPARTMENT OF PEDIATRICS
FLUSHING, NY 11355
Pediatrics
4500 PARSONS BLVD
FLUSHING, NY 11355
Pediatrics
4500 PARSONS BLVD
FLUSHING, NY 11355
Anesthesiology
4500 PARSONS BLVD
FLUSHING, NY 11355
Anesthesiology
4500 PARSONS BLVD
FLUSHING, NY 11355
Anesthesiology
4500 PARSONS BLVD
FLUSHING, NY 11355

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073075842, enumerated as an "individual" on April 02, 2019.

The provider is located at 4500 PARSONS BLVD FLUSHING, NY 11355 and the phone number is (718) 670-5000.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medica and Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.

Pragneshkumar Patel is affiliated with: ESSENTIA HEALTH, HENRY COUNTY MEDICAL CENTER and TRISTAR SUMMIT MEDICAL CENTER.