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PRATEEK PATIBANDLA M.D.
NPI 1326493958
Internal Medicine in Staten Island, NY

Active since May 02, 2016PECOS EnrolledAccepts Medicare Assignment
93.21/100
CMS Quality Rating
475 SEAVIEW AVENUE, STATEN ISLAND, NY 10305(718) 226-6205(718) 226-8695 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2023, Dec 15, 2016 (2 updates tracked since 2016).

About Prateek Patibandla M.d. NPPES

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

PRATEEK PATIBANDLA M.D. (NPI 1326493958) is an individual internal medicine provider in Staten Island, New York, licensed in Texas (U6316) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1326493958
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRATEEK PATIBANDLACredential: M.D.
Location Address475 SEAVIEW AVENUEStaten Island, NY 10305
Mailing Address475 Seaview AvenueStaten Island, NY 10305 · (718) 226-6205 · Fax (718) 226-8695
Phone(718) 226-6205
Fax(718) 226-8695
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 2, 2016
Last NPPES UpdateMarch 29, 20242 updates tracked since enumeration
NPPES CertifiedMarch 29, 2024
✔ NPI 1326493958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · U6316
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.
Also ListedHospitalistTaxonomy 208M00000X · License U6316 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
475 SEAVIEW AVENUE, Staten Island, NY 10305
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1811 S Washington AveMarshall, TX 75670-5336 · Phone (903) 315-1488
Location 2700 E Marshall AveLongview, TX 75601-5580 · Phone (903) 315-1488

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.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

Prateek Patibandla 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.

PECOS PAC ID6002148210
PECOS Enrollment IDI20241106003416
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
264 services118 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
112 services55 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
111 services110 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
68 services66 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
24 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

93.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.43
Promoting Interoperability100
Improvement Activities40

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.

DR. JEAN CHALHOUB M.D
Internal Medicine (Gastroenterology)
475 SEAVIEW AVENUE, DEPARTMENT OF INTERNAL MEDICINE
STATEN ISLAND, NY 10305
Richmond County (718) 226-8855
GHADA ARAJI M.D.
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-8313
CHEN CHEN
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-8313
MS. SIMARAN KAHLON M.D.
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9359
AMAL A RAHMAN M.D.
Pediatrics
475 SEAVIEW AVENUE, DEPARTMENT OF PEDIATRICS
STATEN, NY 10305
Richmond County (718) 226-9360
SAAD HABIB M.D.
Internal Medicine (Critical Care Medicine)
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6205
RA'ED YOUSEF FAREED NASSAR MD
Internal Medicine (Nephrology)
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-8313
GHASSAN SAMAHA M.D.
Student in an Organized Health Care Education/Training Program
475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6205

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 Prateek Patibandla's NPI number?

The NPI number for Prateek Patibandla is 1326493958. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Prateek Patibandla located?

Prateek Patibandla practices at 475 Seaview Avenue, Staten Island, NY 10305. The listed phone number is (718) 226-6205.

What is Prateek Patibandla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prateek Patibandla enrolled in Medicare?

Yes. Prateek Patibandla 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 Prateek Patibandla accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Prateek Patibandla 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 Prateek Patibandla affiliated with any hospitals?

According to CMS data, Prateek Patibandla is affiliated with Piedmont Augusta Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Prateek Patibandla was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.