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PRITESH PATEL DPM
NPI 1326406679
Podiatrist - Foot & Ankle Surgery in Boca Raton, FL

Active since February 02, 2016PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
900 NW 13TH ST STE 106, BOCA RATON, FL 33486(561) 826-7032(561) 826-8591 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2018, Apr 30, 2018, Feb 2, 2016 (3 updates tracked since 2016).

About Pritesh Patel Dpm NPPES

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

PRITESH PATEL DPM (NPI 1326406679) is an individual foot & ankle surgery provider in Boca Raton, Florida, licensed in Florida (PO3861) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and is a graduate of Barry University School Of Podiatric Medicine (2014).

NPPES Registry Identity

NPI1326406679
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NamePRITESH PATELCredential: DPM
Location Address900 NW 13TH ST STE 106Boca Raton, FL 33486-2350
Mailing Address8200 Nw 27th St Ste 108Doral, FL 33122-1902 · (786) 662-3893
Phone(561) 826-7032
Fax(561) 826-8591
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2014
Enumeration DateFebruary 2, 2016
Last NPPES UpdateNovember 5, 20183 updates tracked since enumeration
✔ NPI 1326406679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in FL · PO3861
900 NW 13TH ST STE 106, Boca Raton, FL 33486
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AmeriHealth Caritas Next and more.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

Pritesh Patel Dpm 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 ID4587916598
PECOS Enrollment IDI20181002002476
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 11

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 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.
575 services262 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
232 services232 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
136 services71 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
102 services44 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
92 services57 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
68 services56 patients

Hospital Affiliations CMS Care Compare

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

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORIDA FOOT & ANKLE ASSOCIATES, LLC
Podiatrist
900 NW 13TH ST STE 106
BOCA RATON, FL 33486
Palm Beach County (561) 826-7032

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 Pritesh Patel's NPI number?

The NPI number for Pritesh Patel is 1326406679. It was assigned to this individual provider in the NPPES registry on February 2, 2016.

Where is Pritesh Patel located?

Pritesh Patel practices at 900 NW 13th St Ste 106, Boca Raton, FL 33486. The listed phone number is (561) 826-7032.

What is Pritesh Patel's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Pritesh Patel enrolled in Medicare?

Yes. Pritesh 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 Pritesh Patel accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Molina Healthcare and 1 other insurer list Pritesh 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 Pritesh Patel affiliated with any hospitals?

According to CMS data, Pritesh Patel is affiliated with Boca Raton Regional Hospital.

When was this NPI record last updated?

The NPPES record for Pritesh Patel was last updated on November 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.