PRABHUMALLIKARJUN PATIL M.D
NPI 1124574009
Psychiatry & Neurology - Neurology in Detroit, MI

Q: What is Prabhumallikarjun Patil's NPI number?

The NPI number for Prabhumallikarjun Patil is 1124574009. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Q: What is Prabhumallikarjun Patil's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since August 30, 2016PECOS Enrolled

930 E LAFAYETTE ST, DETROIT, MI 48207(313) 680-9977 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2022, Aug 30, 2016 (2 updates tracked since 2016).

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About Prabhumallikarjun Patil M.d NPPES

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

PRABHUMALLIKARJUN PATIL M.D (NPI 1124574009) is an individual neurology provider in Detroit, Michigan, licensed in Georgia (89832) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124574009

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NamePRABHUMALLIKARJUN PATILCredential: M.D

Location Address930 E LAFAYETTE STDetroit, MI 48207-2938

Mailing Address930 E Lafayette StDetroit, MI 48207-2938 · (313) 680-9977

Phone(313) 680-9977

Sole ProprietorYes

Enumeration DateAugust 30, 2016

Last NPPES UpdateSeptember 8, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2022

✔ NPI 1124574009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in GA · 89832

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301110578 (MI)

930 E LAFAYETTE ST, Detroit, MI 48207

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prabhumallikarjun Patil M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48207 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 Prabhumallikarjun Patil's NPI number?

The NPI number for Prabhumallikarjun Patil is 1124574009. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Where is Prabhumallikarjun Patil located?

Prabhumallikarjun Patil practices at 930 E Lafayette St, Detroit, MI 48207. The listed phone number is (313) 680-9977.

What is Prabhumallikarjun Patil's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Prabhumallikarjun Patil enrolled in Medicare?

Yes. Prabhumallikarjun Patil is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Prabhumallikarjun Patil was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.