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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: October 18, 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 St Marys - Detroit Lakes, 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
Phone(718) 670-5000
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Oscar Insurance Company.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

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, I20260730002372
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.

Medicare Billing Reassignments

11

Medicare enrollment records show Pragneshkumar Patel reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeastern Physician Services PC
653 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000
Cookeville Hospitalist Group, PLLC
708 mi
Hospitalist
1 MEDICAL CENTER BLVD
Cookeville, TN 38501
  • Reassigned Medicare billing, Tennessee enrollment
  • 107 clinicians in this Medicare group
NPI 1467133371 (931) 528-2541
Advanced Diagnostic Imaging, PC
761 mi
Internal Medicine
3024 BUSINESS PARK CIR
Goodlettsville, TN 37072
  • Reassigned Medicare billing, Tennessee enrollment
  • 734 clinicians in this Medicare group
NPI 1093741464 (615) 239-2061
Advanced Specialists, PC
761 mi
Internal Medicine
3024 BUSINESS PARK CIR
Goodlettsville, TN 37072
  • Reassigned Medicare billing, Tennessee enrollment
  • 317 clinicians in this Medicare group
NPI 1649133463 (615) 239-2018
Ultra Health LLC
770 mi
Geriatric Medicine
217 6TH AVE N STE 43952
Nashville, TN 37219
  • Reassigned Medicare billing, Tennessee enrollment
  • 44 clinicians in this Medicare group
NPI 1922469543 (731) 394-1145
Ultra Health Providers II LLC
770 mi
Geriatric Medicine
217 6TH AVE N STE 43952
Nashville, TN 37219
  • Reassigned Medicare billing, Tennessee enrollment
  • 45 clinicians in this Medicare group
NPI 1033956057 (731) 394-1145
Hospital Medicine Services Of Tn, LLC
772 mi
Hospitalist
2300 PATTERSON ST
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 420 clinicians in this Medicare group
NPI 1982301065 (615) 342-1001
App Of Tennessee Hm, PLLC
775 mi
Hospitalist
2835 HIGHWAY 231 N
Shelbyville, TN 37160
  • Reassigned Medicare billing, Tennessee enrollment
  • 498 clinicians in this Medicare group
NPI 1396160768 (931) 685-5433
Rehab Associates
802 mi
Internal Medicine
111 HIGHWAY 70 E
Dickson, TN 37055
  • Reassigned Medicare billing, Tennessee enrollment
  • 6 clinicians in this Medicare group
NPI 1932420049 (615) 326-2443
St Mary's Regional Health Center
1,119 mi
Rural Health
110 MICHIGAN AVE W
Walker, MN 56484
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: St Marys Regional Health Center
  • 254 clinicians in this Medicare group
NPI 1558607408 (218) 547-6900

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 5

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.

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 St Marys - Detroit Lakes

Acute Care Hospitals · Detroit Lakes, MN
OwnershipVoluntary non-profit - Church
CMS Certification Number240101
Location1027 Washington AveDetroit Lakes, MN 56501 · Becker County
Birthing friendly

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

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.

FAZLA RABBY MD
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5000
DANIELA VULTORIUS
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5000
SUSY J DIAZ MD
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5939
DEEMAH STALHAMER D.O.
Anesthesiology
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5631
DR. TANVIRA M ISLAM MD
Psychiatry & Neurology (Psychiatry)
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 406-8268
UZOEGO CHIBUZO X MD
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5535
DR. TALWINDER SINGH DO
Hospitalist
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5000
MS. SRINARMADHA CHANDRAN MBBS
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Queens County (718) 670-5000

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 Pragneshkumar Patel's NPI number?

The NPI number for Pragneshkumar Patel is 1073075842. It was assigned to this individual provider in the NPPES registry on April 2, 2019. The provider is also known as Dr. Pragnesh Patel MD.

Where is Pragneshkumar Patel located?

Pragneshkumar Patel practices at 4500 Parsons Blvd, Flushing, NY 11355. The listed phone number is (718) 670-5000.

What is Pragneshkumar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pragneshkumar Patel enrolled in Medicare?

Yes. Pragneshkumar 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 Pragneshkumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pragneshkumar Patel reassigns Medicare benefits to 11 organizations: Southeastern Physician Services PC (Oak Ridge, TN), Cookeville Hospitalist Group, PLLC (Cookeville, TN), Advanced Diagnostic Imaging, PC (Goodlettsville, TN), Advanced Specialists, PC (Goodlettsville, TN), Ultra Health LLC (Nashville, TN) and 6 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 Pragneshkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pragneshkumar Patel accept?

Health plans from Blue Cross Blue Shield of North Dakota and Oscar Insurance Company list Pragneshkumar 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 Pragneshkumar Patel affiliated with any hospitals?

According to CMS data, Pragneshkumar Patel is affiliated with Essentia Health St Marys - Detroit Lakes, Essentia Health and Tristar Summit Medical Center.

When was this NPI record last updated?

The NPPES record for Pragneshkumar Patel was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.