PRANAY R. PATEL D,O.
NPI 1275947939
Internal Medicine in Richboro, PA
About Pranay R. Patel D,o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRANAY R. PATEL D,O. (NPI 1275947939) is an individual internal medicine provider in Richboro, Pennsylvania, licensed in Pennsylvania (OS018808) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Pranay R. Patel D,o. 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
2Medicare enrollment records show Pranay Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richboro, PA 18954
- Reassigned Medicare billing, Pennsylvania enrollment
- 646 clinicians in this Medicare group
Trenton, NJ 08638
- Reassigned Medicare billing, Pennsylvania enrollment
- 186 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Capital Health Medical Center - Hopewell
Acute Care Hospitals · Pennington, NJHospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PASt Mary Medical Center
Acute Care Hospitals · Langhorne, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18954 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Pranay Patel's NPI number?
The NPI number for Pranay Patel is 1275947939. It was assigned to this individual provider in the NPPES registry on June 19, 2014.
Where is Pranay Patel located?
Pranay Patel practices at 130 Almshouse Rd Ste 600, Richboro, PA 18954. The listed phone number is (215) 845-0731.
What is Pranay Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Pranay Patel enrolled in Medicare?
Yes. Pranay 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 Pranay Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pranay Patel reassigns Medicare benefits to 2 organizations: Trinity Health Mid-Atlantic Medical Group (Richboro, PA) and Capital Health Medical Group (Trenton, NJ). 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 Pranay Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pranay Patel accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Pranay 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 Pranay Patel affiliated with any hospitals?
According to CMS data, Pranay Patel is affiliated with Capital Health Medical Center - Hopewell, Hospital Of Univ Of Pennsylvania and St Mary Medical Center.
When was this NPI record last updated?
The NPPES record for Pranay Patel was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Pranay R. Patel, D,O. · NPI 1275947939
Internal Medicine physician in Richboro, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 19, 2014.
## Identity
- **NPI:** 1275947939 (Entity type: Individual)
- **Enumerated:** June 19, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** OS018808 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 130 ALMSHOUSE RD STE 600, Richboro, PA 18954-1130
- **Phone:** (215) 845-0731
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Trinity Health Mid-Atlantic Medical Group (NPI 1609260397, Richboro, PA); Capital Health Medical Group (NPI 1437516887, Trenton, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia School Of Osteopathic Medicine, class of 2014
## Record status
- **NPPES last updated:** October 3, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1275947939) · Data from the CMS NPPES public registry.