MR. PRAVIN P PATEL MD
NPI 1124098603
Family Medicine in Coldwater, MS

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
423 CENTRAL AVE, COLDWATER, MS 38618(662) 622-7011(662) 622-0257 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Pravin P Patel Md NPPES

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

MR. PRAVIN P PATEL MD (NPI 1124098603) is an individual family medicine provider in Coldwater, Mississippi, licensed in Mississippi (MS07838) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1124098603
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. PRAVIN P PATELCredential: MD
Location Address423 CENTRAL AVEColdwater, MS 38618
Mailing AddressPo Box 1060Coldwater, MS 38618-1060 · (662) 622-7011 · Fax (662) 622-0257
Fax(662) 622-0257
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateJanuary 25, 2006
Last NPPES UpdateApril 30, 2008
NPI 1124098603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MS · MS07838
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

423 CENTRAL AVE, Coldwater, MS 38618

Other Identifiers 6

Other080183850MS · Railroad Medicare
Medicaid09015376MS
Medicare ID-Type Unspecified080003271MS
Medicare UPIND89893
Medicaid00122592MS
Other0130244MS · United Health Care

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

Mr. Pravin P 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 ID4789753963
PECOS Enrollment IDI20080514000021
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 52

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.

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.
1,759 services521 patients
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304
Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
1,569 services28 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,352 services196 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.
1,029 services267 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
830 services395 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
648 services115 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Highland Hills Medical Center

Acute Care Hospitals · Senatobia, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number250172
Location401 Getwell DriveSenatobia, MS 38668 · Tate County
Emergency services

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38618 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 22

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers115 claims308 services$5.81 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
5 suppliers37 claims37 services$2.53 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers53 claims95 services$0.94 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
3 suppliers15 claims30 services$61.54 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier12 claims72 services$25.15 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers53 claims108 services$1.26 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 7

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

Nurse Practitioner (Family)
423 CENTRAL AVE
COLDWATER, MS 38618
Pain Medicine (Pain Medicine)
423 CENTRAL AVE
COLDWATER, MS 38618
Clinic/Center (Primary Care)
423 CENTRAL AVE
COLDWATER, MS 38618
Family Medicine
423 CENTRAL AVE
COLDWATER, MS 38618
Family Medicine
423 CENTRAL AVE
COLDWATER, MS 38618
Nurse Practitioner (Family)
423 CENTRAL AVE
COLDWATER, MS 38618
Nurse Practitioner
423 CENTRAL AVE
COLDWATER, MS 38618

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 Pravin Patel's NPI number?

The NPI number for Pravin Patel is 1124098603. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Pravin Patel located?

Pravin Patel practices at 423 Central Ave, Coldwater, MS 38618. The listed phone number is (662) 622-7011.

What is Pravin Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pravin Patel enrolled in Medicare?

Yes. Pravin 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 Pravin Patel accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Pravin 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 Pravin Patel affiliated with any hospitals?

According to CMS data, Pravin Patel is affiliated with Baptist Memorial Hospital Desoto, Highland Hills Medical Center and Baptist Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Pravin Patel was last updated on April 30, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.