DR. PALLAVKUMAR PATEL M.D.
NPI 1194986919
Hospitalist in Paradise, CA

Active since June 24, 2008PECOS Enrolled
77.48/100
CMS Quality Rating
5974 PENTZ RD, PARADISE, CA 95969(530) 877-9361 Get Directions Write a Review

NPPES record last updated: January 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Pallavkumar Patel M.d. NPPES

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

DR. PALLAVKUMAR PATEL M.D. (NPI 1194986919) is an individual hospitalist provider in Paradise, California, licensed in California (A115502) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194986919
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. PALLAVKUMAR PATELCredential: M.D.
Location Address5974 PENTZ RDParadise, CA 95969-5509
Mailing Address6470 Pentz Rd, Suite AParadise, CA 95969-3674 · (530) 872-6650 · Fax (530) 872-6653
Sole ProprietorNo
Enumeration DateJune 24, 2008
Last NPPES UpdateJanuary 16, 2012
NPI 1194986919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · A115502
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 A115502 (CA)
5974 PENTZ RD, Paradise, CA 95969

Other Identifiers 1

Medicare PINFM998ACA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Pallavkumar Patel 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.

Areas of Expertise CMS Part B claims

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.

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.
63 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95969 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

77.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.81
Improvement Activities40
Cost50.6

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.

Dietitian, Registered
5974 PENTZ RD
PARADISE, CA 95969
Nurse Practitioner (Family)
5974 PENTZ RD
PARADISE, CA 95969
Physician Assistant
5974 PENTZ RD, EMERGENCY DEPARTMENT
PARADISE, CA 95969
Anesthesiology (Pain Medicine)
5974 PENTZ RD, FEATHER RIVER HOSPITAL
PARADISE, CA 95969
Dietitian, Registered
5974 PENTZ RD
PARADISE, CA 95969
Dietitian, Registered
5974 PENTZ RD
PARADISE, CA 95969
Emergency Medicine
5974 PENTZ RD
PARADISE, CA 95969
Emergency Medicine
5974 PENTZ RD
PARADISE, CA 95969

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 Pallavkumar Patel's NPI number?

The NPI number for Pallavkumar Patel is 1194986919. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Pallavkumar Patel located?

Pallavkumar Patel practices at 5974 Pentz Rd, Paradise, CA 95969. The listed phone number is (530) 877-9361.

What is Pallavkumar Patel's specialty?

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

Is Pallavkumar Patel enrolled in Medicare?

Yes. Pallavkumar Patel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pallavkumar Patel was last updated on January 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.