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PRITIKA PATEL NP
NPI 1356894703
Nurse Practitioner - Family in Burlington, MA

Active since August 02, 2016PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805(781) 744-8630(781) 744-5581 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 24, 2025, Mar 15, 2018 (2 updates tracked since 2018).

About Pritika Patel Np NPPES

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

PRITIKA PATEL NP (NPI 1356894703) is an individual family provider in Burlington, Massachusetts, licensed in Massachusetts (RN2307559) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1356894703
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePRITIKA PATELCredential: NP
Location AddressLAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROADBurlington, MA 01805-0001
Mailing AddressLahey Hospital & Medical Center, 41 Mall RoadBurlington, MA 01805-0001 · (781) 744-8630 · Fax (781) 744-5581
Phone(781) 744-8630
Fax(781) 744-5581
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 2, 2016
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1356894703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2307559
LAHEY HOSPITAL & MEDICAL CENTER, Burlington, MA 01805
Open in Google Maps ↗

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

Pritika Patel Np 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 ID3779845904
PECOS Enrollment IDI20180327002478
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 5

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
143 services81 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
85 services54 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
64 services58 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
59 services59 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
22 services13 patients

Hospital Affiliations CMS Care Compare

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

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
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.

MING LIN MD
Internal Medicine (Gastroenterology)
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-2500
DR. RICHARD THOMAS M.D.
Radiology (Diagnostic Radiology)
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8170
LIVIA KELLY
Nurse Practitioner (Acute Care)
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8132
FLORIAN HACKL M.D.
Anesthesiology
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8132
DR. EMANUELE ORRU' M.D.
Radiology (Neuroradiology)
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8170
DR. KATHERINE R VOSBURG D.O.
Internal Medicine
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-3839
ELIZABETH ATLEE MENEFEE NP
Nurse Practitioner (Acute Care)
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-3839
ANDREA K JANDA PA-C
Physician Assistant
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD
BURLINGTON, MA 01805
Middlesex County (781) 744-8460

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 Pritika Patel's NPI number?

The NPI number for Pritika Patel is 1356894703. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Where is Pritika Patel located?

Pritika Patel practices at Lahey Hospital & Medical Center 41 Mall Road, Burlington, MA 01805. The listed phone number is (781) 744-8630.

What is Pritika Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Pritika Patel enrolled in Medicare?

Yes. Pritika 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 Pritika Patel affiliated with any hospitals?

According to CMS data, Pritika Patel is affiliated with Winchester Hospital.

When was this NPI record last updated?

The NPPES record for Pritika Patel was last updated on November 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.