DR. PRATIK S DESAI M.D.
NPI 1205822640
Urology in Woodbridge, VA

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
78.3/100
CMS Quality Rating
2296 OPITZ BLVD, SUITE 350, WOODBRIDGE, VA 22191(703) 680-2111(703) 878-3939 Get Directions Write a Review

NPPES record last updated: May 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Pratik S Desai M.d. NPPES

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

DR. PRATIK S DESAI M.D. (NPI 1205822640) is an individual urology provider in Woodbridge, Virginia, licensed in Virginia (0101239046) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of West Virginia University School Of Medicine (1998).

NPPES Registry Identity

NPI1205822640
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. PRATIK S DESAICredential: M.D.
Location Address2296 OPITZ BLVD, SUITE 350Woodbridge, VA 22191-3300
Mailing Address2296 Opitz Blvd, Suite 350Woodbridge, VA 22191-3300 · (703) 680-2111 · Fax (703) 878-3939
Fax(703) 878-3939
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1998
Enumeration DateSeptember 21, 2005
Last NPPES UpdateMay 27, 2011
NPI 1205822640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in VA · 0101239046
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2296 OPITZ BLVD, Woodbridge, VA 22191

Other Identifiers 1

Medicare UPINI11517IN

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

Dr. Pratik S Desai M.d. 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 ID1254304751
PECOS Enrollment IDI20070601000153, I20100212000452
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 38

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.

Leuprolide injectable, camcevi, 1 mg J1952
Camcevi, containing 1 mg of Leuprolide, is an injectable medication. It's used to manage certain health conditions by influencing hormone levels in your body. It's administered by a healthcare professional, usually once every month or as directed by your doctor.
3,234 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
911 services594 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
775 services584 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
452 services80 patients
Detection test by nucleic acid for organism, amplified probe technique 87798
A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.
325 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
322 services250 patients

Hospital Affiliations CMS Care Compare 5

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Sentara Northern Virginia Medical Center

Acute Care Hospitals · Woodbridge, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490113
Location2300 Opitz BoulevardWoodbridge, VA 22191 · Prince William County
Emergency services Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22191 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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.

78.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.01
Promoting Interoperability98
Improvement Activities40
Cost67.31

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
2 suppliers12 claims36 services$9.88 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers27 claims4,887 services$1.65 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers23 claims3,593 services$4.72 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
8 suppliers36 claims122 services$7.37 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
3 suppliers11 claims23 services$7.07 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
3 suppliers28 claims132 services$4.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinic/Center (Primary Care)
2296 OPITZ BLVD, SUITE 510
WOODBRIDGE, VA 22191
Obstetrics & Gynecology
2296 OPITZ BLVD, #440
WOODBRIDGE, VA 22191
Clinic/Center (Oncology, Radiation)
2296 OPITZ BLVD, SUITE 140
WOODBRIDGE, VA 22191
Internal Medicine (Pulmonary Disease)
2296 OPITZ BLVD, SUITE 230
WOODBRIDGE, VA 22191
Pediatrics
2296 OPITZ BLVD, SUITE 403
WOODBRIDGE, VA 22191
Specialist
2296 OPITZ BLVD, SUITE 340
WOODBRIDGE, VA 22191
Surgery (Vascular Surgery)
2296 OPITZ BLVD, STE 260A
WOODBRIDGE, VA 22191
Ophthalmology
2296 OPITZ BLVD, SUITE 410
WOODBRIDGE, VA 22191

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 Pratik Desai's NPI number?

The NPI number for Pratik Desai is 1205822640. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Pratik Desai located?

Pratik Desai practices at 2296 Opitz Blvd Suite 350, Woodbridge, VA 22191. The listed phone number is (703) 680-2111.

What is Pratik Desai's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Pratik Desai enrolled in Medicare?

Yes. Pratik Desai 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.

Is Pratik Desai affiliated with any hospitals?

According to CMS data, Pratik Desai is affiliated with Mary Washington Hospital, Inova Alexandria Hospital, Inova Fairfax Hospital, Sentara Northern Virginia Medical Center and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Pratik Desai was last updated on May 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.