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PRATIK N. PATEL MD
NPI 1215499678
Family Medicine in San Antonio, TX

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
8300 FLOYD CURL DR, SAN ANTONIO, TX 78229(210) 450-9100(210) 450-6009 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pratik N. Patel Md NPPES

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

PRATIK N. PATEL MD (NPI 1215499678) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (U5483) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215499678
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePRATIK N. PATELCredential: MD
Location Address8300 FLOYD CURL DRSan Antonio, TX 78229-3931
Mailing Address8300 Floyd Curl DrSan Antonio, TX 78229-3931 · (210) 450-9100 · Fax (210) 450-6009
Phone(210) 450-9100
Fax(210) 450-6009
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 4, 2019
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1215499678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · U5483
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.
8300 FLOYD CURL DR, San Antonio, TX 78229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare.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

Pratik N. 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 ID941536684
PECOS Enrollment IDI20230801003003
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 6

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.

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.
147 services109 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.
102 services76 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
51 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
47 services47 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

SAPNA RAGHUNATHAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9490
DR. THERESA LYNN STEWART M.D
Obstetrics & Gynecology (Maternal & Fetal Medicine)
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9500
ANNETTE B MARTIN PT
Physical Therapist
8300 FLOYD CURL DR, 4TH FLOOR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9700
MATTHEW M BRIGMON MD
Internal Medicine (Infectious Disease)
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9800
ASHLEY GERSHNER PA-C
Physician Assistant
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9300
LAAVANYA RAJU M.D.
Family Medicine
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9100
DR. AARON J.M. BOIS MD, MSC, FRCSC
Orthopaedic Surgery
8300 FLOYD CURL DR, 3RD FLOOR -3C
SAN ANTONIO, TX 78229
Bexar County (210) 450-9300
DR. PHILIP M JACOBS M.D.
Orthopaedic Surgery
8300 FLOYD CURL DR
SAN ANTONIO, TX 78229
Bexar County (210) 450-9300

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 Patel's NPI number?

The NPI number for Pratik Patel is 1215499678. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Pratik Patel located?

Pratik Patel practices at 8300 Floyd Curl Dr, San Antonio, TX 78229. The listed phone number is (210) 450-9100.

What is Pratik Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pratik Patel enrolled in Medicare?

Yes. Pratik 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.

What insurance does Pratik Patel accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Molina Healthcare list Pratik Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Pratik Patel affiliated with any hospitals?

According to CMS data, Pratik Patel is affiliated with Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Pratik Patel was last updated on September 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.