PRATIK PATEL M.D
NPI 1114337425
Hospitalist in Mansfield, OH
About Pratik Patel M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRATIK PATEL M.D (NPI 1114337425) is an individual hospitalist provider in Mansfield, Ohio, licensed in Ohio (35.130722) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
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
Pratik Patel M.d 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.
Areas of Expertise CMS Part B claims 6
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marion General Hospital
Acute Care Hospitals · Marion, OHOhiohealth Mansfield Hospital
Acute Care Hospitals · Mansfield, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MANSFIELD, OH 44903
MANSFIELD, OH 44903
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 Pratik Patel's NPI number?
The NPI number for Pratik Patel is 1114337425. It was assigned to this individual provider in the NPPES registry on May 8, 2014.
Where is Pratik Patel located?
Pratik Patel practices at 335 Glessner Ave, Mansfield, OH 44903. The listed phone number is (740) 383-8473.
What is Pratik Patel's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Pratik Patel enrolled in Medicare?
Yes. Pratik 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.
What insurance does Pratik Patel accept?
Health plans from CareSource, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Pratik 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 Pratik Patel affiliated with any hospitals?
According to CMS data, Pratik Patel is affiliated with Marion General Hospital and Ohiohealth Mansfield Hospital.
When was this NPI record last updated?
The NPPES record for Pratik Patel was last updated on October 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.
