PRIYESH R PATEL MD
NPI 1184941254
Internal Medicine - Critical Care Medicine in Birmingham, AL

Active since April 28, 2010PECOS EnrolledAccepts Medicare Assignment
619 19TH ST S, BIRMINGHAM, AL 35233(205) 934-4011 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2026, Oct 7, 2025 (2 updates tracked since 2025).

About Priyesh R Patel Md NPPES

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

PRIYESH R PATEL MD (NPI 1184941254) is an individual critical care medicine provider in Birmingham, Alabama, licensed in Alabama (52043) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (2010).

NPPES Registry Identity

NPI1184941254
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NamePRIYESH R PATELCredential: MD
Location Address619 19TH ST SBirmingham, AL 35233-1900
Mailing AddressPo Box 55310Birmingham, AL 35255-5310
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2010
Enumeration DateApril 28, 2010
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
NPI 1184941254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in AL · 52043
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
619 19TH ST S, Birmingham, AL 35233

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

Priyesh R 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 ID6002130291
PECOS Enrollment IDI20260124000148
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 35233 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%43 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Emergency Medicine (Medical Toxicology)
619 19TH ST S
BIRMINGHAM, AL 35233
Registered Nurse
619 19TH ST S
BIRMINGHAM, AL 35233
Physician Assistant
619 19TH ST S
BIRMINGHAM, AL 35233
Emergency Medicine
619 19TH ST S
BIRMINGHAM, AL 35233
Hospitalist
619 19TH ST S
BIRMINGHAM, AL 35233
Radiology (Diagnostic Radiology)
619 19TH ST S
BIRMINGHAM, AL 35233
Internal Medicine (Hematology)
619 19TH ST S
BIRMINGHAM, AL 35233
Surgery (Trauma Surgery)
619 19TH ST S
BIRMINGHAM, AL 35233

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 Priyesh Patel's NPI number?

The NPI number for Priyesh Patel is 1184941254. It was assigned to this individual provider in the NPPES registry on April 28, 2010.

Where is Priyesh Patel located?

Priyesh Patel practices at 619 19th St S, Birmingham, AL 35233. The listed phone number is (205) 934-4011.

What is Priyesh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Priyesh Patel enrolled in Medicare?

Yes. Priyesh 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.

When was this NPI record last updated?

The NPPES record for Priyesh Patel was last updated on May 7, 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.