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PRANAY R. PATEL D,O.
NPI 1275947939
Internal Medicine in Richboro, PA

Active since June 19, 2014PECOS EnrolledAccepts Medicare Assignment
130 ALMSHOUSE RD STE 600, RICHBORO, PA 18954(215) 845-0731 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2021, Jun 19, 2017 (2 updates tracked since 2017).

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

NPI1275947939
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRANAY R. PATELCredential: D,O.
Location Address130 ALMSHOUSE RD STE 600Richboro, PA 18954-1130
Mailing Address130 Almshouse Rd Ste 600Richboro, PA 18954-1130 · (215) 845-0731
Phone(215) 845-0731
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2014
Enumeration DateJune 19, 2014
Last NPPES UpdateOctober 3, 20252 updates tracked since enumeration
NPPES CertifiedOctober 3, 2025
✔ NPI 1275947939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · OS018808✔ Licensed in PA · OT016081
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
130 ALMSHOUSE RD STE 600, Richboro, PA 18954
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Secondary Practice Location 1

Location 110800 Knights RdPhiladelphia, PA 19114-4200 · Phone (215) 612-4000

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

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.

PECOS PAC ID5092001206
PECOS Enrollment IDI20170725000743
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 2

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, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician 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.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$12.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$61.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Is Pranay Patel affiliated with any hospitals?

According to CMS data, Pranay Patel is affiliated with Capital Health Medical Center - Hopewell 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 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.