DR. PRANJAL PATEL M.D.
NPI 1255620787
Emergency Medicine in San Jose, CA
About Dr. Pranjal Patel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRANJAL PATEL M.D. (NPI 1255620787) is an individual emergency medicine provider in San Jose, California, licensed in California (A127994) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Pranjal Patel 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.
Medicare Billing Reassignments
6Medicare enrollment records show Pranjal Patel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95128
- Reassigned Medicare billing, California enrollment
- 2,460 clinicians in this Medicare group
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Los Gatos, CA 95032
- Reassigned Medicare billing, California enrollment
- 2,323 clinicians in this Medicare group
East Palo Alto, CA 94303
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: County Of San Mateo
- Also billed through NPI 1831268580 (California)
- 597 clinicians in this Medicare group
Stanford, CA 94305
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
San Mateo, CA 94401
- Reassigned Medicare billing, California enrollment
- 45 clinicians in this Medicare group
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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
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 Pranjal Patel's NPI number?
The NPI number for Pranjal Patel is 1255620787. It was assigned to this individual provider in the NPPES registry on April 5, 2011.
Where is Pranjal Patel located?
Pranjal Patel practices at 751 S Bascom Ave Emergency Department, San Jose, CA 95128. The listed phone number is (405) 885-6912.
What is Pranjal Patel's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Pranjal Patel enrolled in Medicare?
Yes. Pranjal 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.
Which organizations bill Medicare for Pranjal Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pranjal Patel reassigns Medicare benefits to 6 organizations: County Of Santa Clara (San Jose, CA), Permanente Medical Group Inc (Santa Clara, CA), Cep America - California (Los Gatos, CA), San Mateo County (East Palo Alto, CA), Stanford Health Care (Stanford, CA) and 1 more organization, listed in the Medicare section above. 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 Pranjal 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 Pranjal Patel was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Pranjal Patel, M.D. · NPI 1255620787
Emergency Medicine physician in San Jose, California. Individual provider, active in the CMS NPPES registry since April 5, 2011.
## Identity
- **NPI:** 1255620787 (Entity type: Individual)
- **Enumerated:** April 5, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A127994 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 751 S BASCOM AVE, EMERGENCY DEPARTMENT, San Jose, CA 95128-2604
- **Phone:** (405) 885-6912
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): County Of Santa Clara (NPI 1154906634, San Jose, CA); Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA); Cep America - California (NPI 1457306979, Los Gatos, CA); San Mateo County (NPI 1710086301, East Palo Alto, CA); Stanford Health Care (NPI 1437292927, Stanford, CA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rush Medical College Of Rush University, class of 2011
## Record status
- **NPPES last updated:** December 21, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1255620787) · Data from the CMS NPPES public registry.