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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: October 25, 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
Phone(530) 877-9361
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
Open in Google Maps ↗

Other Identifiers 1

Medicare PINFM998ACA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Pallavkumar Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Galen Inpatient Physicians Inc
Same address
Internal Medicine
5974 PENTZ RD
Paradise, CA 95969
  • Reassigned Medicare billing, California enrollment
  • 962 clinicians in this Medicare group
NPI 1952791907 (530) 877-9361
Valley Hospitalist Medical Group, Inc
267 mi
Hospitalist
400 W MINERAL KING AVE
Visalia, CA 93291
  • Reassigned Medicare billing, California enrollment
  • 73 clinicians in this Medicare group
NPI 1790925071 (559) 429-4781

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. FELICIA RENE' PONCE MS, RD
Dietitian, Registered
5974 PENTZ RD
PARADISE, CA 95969
Butte County (530) 877-9361
NOU HER
Nurse Practitioner (Family)
5974 PENTZ RD
PARADISE, CA 95969
Butte County (530) 876-7901
BOB KURTS P.A.
Physician Assistant
5974 PENTZ RD, EMERGENCY DEPARTMENT
PARADISE, CA 95969
Butte County (530) 877-9361
JUICHUNG J HUNG MD
Anesthesiology (Pain Medicine)
5974 PENTZ RD, FEATHER RIVER HOSPITAL
PARADISE, CA 95969
Butte County (530) 877-9361
MRS. JOELLE SUSANNE CHINNOCK RD
Dietitian, Registered
5974 PENTZ RD
PARADISE, CA 95969
Butte County (530) 877-9361
JENAE MARIE HAWKINS RD
Dietitian, Registered
5974 PENTZ RD
PARADISE, CA 95969
Butte County (530) 876-2116
CEP AMERICA - CALIFORNIA
Emergency Medicine
5974 PENTZ RD
PARADISE, CA 95969
Butte County (530) 877-9361
DR. MICHAEL EVAN LOCKWOOD MD
Emergency Medicine
5974 PENTZ RD
PARADISE, CA 95969
Butte County (530) 877-9361

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.

Which organizations bill Medicare for Pallavkumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pallavkumar Patel reassigns Medicare benefits to 2 organizations: Galen Inpatient Physicians Inc (Paradise, CA) and Valley Hospitalist Medical Group, Inc (Visalia, CA). 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 Pallavkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.