PRIT PATEL MD
NPI 1205576469
Family Medicine in Granville, OH

Q: What is Prit Patel's NPI number?

The NPI number for Prit Patel is 1205576469. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Q: What is Prit 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 Prit Patel was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 29, 2022PECOS EnrolledAccepts Medicare Assignment

90.5/100

CMS Quality Rating

1264 WEAVER DR, GRANVILLE, OH 43023(220) 564-1961(220) 564-1959 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2025, Jul 9, 2025, Dec 17, 2024 and 2 more (5 updates tracked since 2023).

On this page

About Prit Patel Md NPPES

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

PRIT PATEL MD (NPI 1205576469) is an individual family medicine provider in Granville, Ohio, licensed in Ohio (35.149254) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and maintains a secondary practice location in Dublin.

NPPES Registry Identity

NPI1205576469

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePRIT PATELCredential: MD

Location Address1264 WEAVER DRGranville, OH 43023-1257

Mailing Address1264 Weaver DrGranville, OH 43023-1257 · (220) 564-1961 · Fax (220) 564-1959

Phone(220) 564-1961

Fax(220) 564-1959

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2022

Enumeration DateMarch 29, 2022

Last NPPES UpdateSeptember 16, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2025

✔ NPI 1205576469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35.149254

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

1264 WEAVER DR, Granville, OH 43023

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Secondary Practice Location 1

Location 16905 Hospital Dr Ste 130Dublin, OH 43016-9600 · Phone (614) 923-0300 · Fax (614) 923-0400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

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

Prit 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 ID3678950003

PECOS Enrollment IDI20231017002270

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.

Hospital Affiliations CMS Care Compare

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

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360218

Location1320 West Main StreetNewark, OH 43055 · Licking County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43023 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

90.5/100

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

Scored as part of a group practice

Quality

90.75

Promoting Interoperability

100

Improvement Activities

Cost

77.59

Other Providers at the Same Location NPPES 5

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

LICKING MEMORIAL PROFESSIONAL CORPORATION

Family Medicine