1. Home
  2. Directory
  3. Alabama
  4. Montgomery
  5. Internal Medicine
  6. NPI Profile

PRAFUL PATEL MD
NPI 1386607984
Internal Medicine in Montgomery, AL

Active since April 07, 2006PECOS EnrolledAccepts Medicare Assignment
27.29/100
CMS Quality Rating
1725 PINE ST, MONTGOMERY, AL 36106(334) 293-8000(334) 293-8067 Get Directions Write a Review

NPPES record last updated: January 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Praful Patel Md NPPES

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

PRAFUL PATEL MD (NPI 1386607984) is an individual internal medicine provider in Montgomery, Alabama, licensed in Alabama (00019522) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1386607984
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRAFUL PATELCredential: MD
Location Address1725 PINE STMontgomery, AL 36106-1109
Mailing AddressPo Box 708788Sandy, UT 84070-8788 · (800) 846-5314 · Fax (801) 352-9502
Phone(334) 293-8000
Fax(334) 293-8067
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateApril 7, 2006
Last NPPES UpdateJanuary 12, 2009
✔ NPI 1386607984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 00019522
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.
1725 PINE ST, Montgomery, AL 36106
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified051556948PATAL
Medicaid009934549AL
Medicare UPING25951AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Praful Patel 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.

PECOS PAC ID9234158122
PECOS Enrollment IDI20051121000667
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 8

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.
2,671 services440 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.
741 services326 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.
403 services378 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
247 services33 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.
136 services130 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
96 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36106 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

27.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality30
Improvement Activities0
Cost26.41

Reported Quality Measures

Advance Care Plan
98%451 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%532 patients4/55-star benchmark: 100%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
100%23 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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. JAMES D WURST PHARM.D.
Pharmacist
1725 PINE ST
MONTGOMERY, AL 36106
Montgomery County (334) 293-8696
MRS. AMANDA MARIE HAIGLER DNP CRNA
Nurse Anesthetist, Certified Registered
1725 PINE ST
MONTGOMERY, AL 36106
Montgomery County (334) 293-8000
BRENDA SIMYIU PHARMD
Pharmacist
1725 PINE ST
MONTGOMERY, AL 36106
Montgomery County (334) 293-8000
ANDREW EASTERLING CRNA
Nurse Anesthetist, Certified Registered
1725 PINE ST
MONTGOMERY, AL 36106
Montgomery County (334) 279-1450
TIFFANY RENEE SMITH CRNP
Nurse Practitioner (Family)
1725 PINE ST
MONTGOMERY, AL 36106
Montgomery County (334) 293-8022
MR. JASON NATHANIEL PRATT CRNP
Nurse Practitioner (Family)
1725 PINE ST
MONTGOMERY, AL 36106
Montgomery County (334) 293-8000
JAMES COWELL CRNA
Nurse Anesthetist, Certified Registered
1725 PINE ST
MONTGOMERY, AL 36106
Montgomery County (334) 293-8000
JACKSON HOSPITAL & CLINIC, INC.
General Acute Care Hospital
1725 PINE ST, DEPARTMENT OF PHARMACY
MONTGOMERY, AL 36106
Montgomery County (334) 293-8780

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 Praful Patel's NPI number?

The NPI number for Praful Patel is 1386607984. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Praful Patel located?

Praful Patel practices at 1725 Pine St, Montgomery, AL 36106. The listed phone number is (334) 293-8000.

What is Praful Patel's specialty?

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

Is Praful Patel enrolled in Medicare?

Yes. Praful 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 Praful Patel accept?

Health plans from Blue Cross and Blue Shield of Alabama list Praful 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.

When was this NPI record last updated?

The NPPES record for Praful Patel was last updated on January 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.