PRUTHA DIPESH PATEL DO
NPI 1184364408
Hospitalist in Fayetteville, NC

Active since April 01, 2022PECOS EnrolledAccepts Medicare Assignment
1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-4000 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2026, Sep 9, 2025, Aug 11, 2025 (3 updates tracked since 2025).

About Prutha Dipesh Patel Do NPPES

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

PRUTHA DIPESH PATEL DO (NPI 1184364408) is an individual hospitalist provider in Fayetteville, North Carolina, licensed in North Carolina (2025-02009) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184364408
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NamePRUTHA DIPESH PATELCredential: DO
Location Address1638 OWEN DRFayetteville, NC 28304-3424
Mailing Address6545 Ryefield DrFayetteville, NC 28314-1887 · (074) 921-3767
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, BradentonGraduated 2022
Enumeration DateApril 1, 2022
Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1184364408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NC · 2025-02009
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2025-02009 (NC)
1638 OWEN DR, Fayetteville, NC 28304

Secondary Practice Locations 2

Location 1210 Medical Pavilion DrRaeford, NC 28376-9111 · Phone (910) 904-8000
Location 2501 S Poplar StElizabethtown, NC 28337-9375 · Phone (910) 862-5100 ext. 25100

Accepted 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

Prutha Dipesh Patel Do 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 ID7719483080
PECOS Enrollment IDI20251006000042
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 Reassignments

3

Medicare enrollment records show Prutha Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
1638 OWEN DR
Fayetteville, NC 28304
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
Urgent Care
300 MEDICAL PAVILION DR, SUITE 150
Raeford, NC 28376
  • Reassigned Medicare billing, North Carolina enrollment
  • 64 clinicians in this Medicare group
Rural Health
16 3RD ST
Dublin, NC 28332
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1558537282 (North Carolina)
  • 170 clinicians in this Medicare group

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.

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Practitioner (Family)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Pharmacist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Practitioner
1638 OWEN DR
FAYETTEVILLE, NC 28304
Hospitalist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Pathology (Anatomic Pathology & Clinical Pathology)
1638 OWEN DR
FAYETTEVILLE, NC 28304

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 Prutha Patel's NPI number?

The NPI number for Prutha Patel is 1184364408. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Prutha Patel located?

Prutha Patel practices at 1638 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 615-4000.

What is Prutha Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Prutha Patel enrolled in Medicare?

Yes. Prutha 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 organizations bill Medicare for Prutha Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prutha Patel reassigns Medicare benefits to 3 organizations: Cumberland County Hospital System Inc (Fayetteville, NC), Hoke Healthcare, LLC (Raeford, NC) and Bladen Healthcare, LLC (Dublin, NC). Each 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 Prutha Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prutha Patel accept?

Health plans from Cigna Healthcare list Prutha 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 Prutha Patel affiliated with any hospitals?

According to CMS data, Prutha Patel is affiliated with Cape Fear Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Prutha Patel was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.