DR. PRARTHANA PRAVIN PATKAR MD
NPI 1306548946
Internal Medicine in Dover, DE
About Dr. Prarthana Pravin Patkar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRARTHANA PRAVIN PATKAR MD (NPI 1306548946) is an individual internal medicine provider in Dover, Delaware, licensed in Delaware (C1-0028583) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Worth, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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. Prarthana Pravin Patkar 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.
Medicare Billing Reassignment
Medicare enrollment records show Prarthana Patkar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dover, DE 19901
- Reassigned Medicare billing, Delaware enrollment
- 272 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Prarthana Patkar's NPI number?
The NPI number for Prarthana Patkar is 1306548946. It was assigned to this individual provider in the NPPES registry on March 20, 2023.
Where is Prarthana Patkar located?
Prarthana Patkar practices at 655 S Bay Rd Unit B, Dover, DE 19901. The listed phone number is (302) 608-5312.
What is Prarthana Patkar's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Prarthana Patkar enrolled in Medicare?
Yes. Prarthana Patkar 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 organization bills Medicare for Prarthana Patkar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prarthana Patkar reassigns Medicare benefits to Bayhealth Medical Center, Inc (Dover, DE). The 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 Prarthana Patkar'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 Prarthana Patkar was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.