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DR. PRAGNA PATEL M.D., M.P.H
NPI 1073543633
Internal Medicine in Atlanta, GA

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
2701 N DECATUR RD, ATLANTA, GA 30307(404) 639-6132 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Pragna Patel M.d., M.p.h NPPES

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

DR. PRAGNA PATEL M.D., M.P.H (NPI 1073543633) is an individual internal medicine provider in Atlanta, Georgia, licensed in Massachusetts (203126) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of State University Of New York Downstate Medical Center (1998).

NPPES Registry Identity

NPI1073543633
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRAGNA PATELCredential: M.D., M.P.H
Location Address2701 N DECATUR RDAtlanta, GA 30307-4004
Mailing Address827 Inman Village Pkwy NeAtlanta, GA 30307-5501 · (404) 222-9870
Phone(404) 639-6132
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1998
Enumeration DateJuly 3, 2006
Last NPPES UpdateMarch 4, 2024
NPPES CertifiedMarch 3, 2024
✔ NPI 1073543633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MA · 203126✔ Licensed in GA · 98073
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.
2701 N DECATUR RD, Atlanta, GA 30307
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.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. Pragna Patel M.d., M.p.h 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 ID3779923339
PECOS Enrollment IDI20240430000614
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 Reassignment

Medicare enrollment records show Pragna Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emory Specialty Associates, LLC
67 mi
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group
NPI 1407864168 (404) 778-4888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30307 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Pragna Patel's NPI number?

The NPI number for Pragna Patel is 1073543633. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Pragna Patel located?

Pragna Patel practices at 2701 N Decatur Rd, Atlanta, GA 30307. The listed phone number is (404) 639-6132.

What is Pragna Patel's specialty?

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

Is Pragna Patel enrolled in Medicare?

Yes. Pragna 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 organization bills Medicare for Pragna Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pragna Patel reassigns Medicare benefits to Emory Specialty Associates, LLC (Lagrange, GA). The 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 Pragna Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pragna Patel accept?

Health plans from Ambetter Health and Oscar Health list Pragna 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 Pragna Patel affiliated with any hospitals?

According to CMS data, Pragna Patel is affiliated with Emory Decatur Hospital.

When was this NPI record last updated?

The NPPES record for Pragna Patel was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.