PREMKUMAR CHANDRAKANTBHAI PATEL MD
NPI 1144754177
Family Medicine in Harrisburg, PA

Q: What is Premkumar Patel's NPI number?

The NPI number for Premkumar Patel is 1144754177. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Q: What is Premkumar Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Premkumar Patel was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 17, 2017PECOS EnrolledAccepts Medicare Assignment

86.18/100

CMS Quality Rating

111 S FRONT ST, HARRISBURG, PA 17101(717) 231-8772(717) 231-8435 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2021, Jan 16, 2021, Oct 31, 2019 and 1 more (4 updates tracked since 2017).

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About Premkumar Chandrakantbhai Patel Md NPPES

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

PREMKUMAR CHANDRAKANTBHAI PATEL MD (NPI 1144754177) is an individual family medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD471619) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and maintains a secondary practice location in Bridgeport.

NPPES Registry Identity

NPI1144754177

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePREMKUMAR CHANDRAKANTBHAI PATELCredential: MD

Location Address111 S FRONT STHarrisburg, PA 17101-2010

Mailing Address111 S Front StHarrisburg, PA 17101-2010

Phone(717) 231-8772

Fax(717) 231-8435

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 17, 2017

Last NPPES UpdateApril 15, 20214 updates tracked since enumeration

NPPES CertifiedApril 15, 2021

✔ NPI 1144754177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD471619

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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 29282 (WV)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

111 S FRONT ST, Harrisburg, PA 17101

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Secondary Practice Location 1

Location 1527 Medical Park Dr Ste 500Bridgeport, WV 26330-9010 · Phone (681) 342-3600 · Fax (681) 342-3625

Other Identifiers 1

Medicaid103800950PA

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

Premkumar Chandrakantbhai 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 ID941579486

PECOS Enrollment IDI20200807000021

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 8

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.

209 services111 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.

201 services113 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.

115 services113 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

65 services41 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.

64 services64 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

34 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390058

Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County

Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390067

Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County

Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390233

Location300 Highland AveHanover, PA 17331 · York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17101 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

86.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.53

Improvement Activities

Cost

65.62

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers32 claims32 services$84.03 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 20

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

JOSEPH ELI BENAKNIN D.O.

Emergency Medicine