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DR. PRAKASH PATEL M.D.
NPI 1396773685
Internal Medicine in Ventura, CA

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
888 S HILL RD, VENTURA, CA 93003(805) 477-6000(805) 477-6269 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Prakash Patel M.d. NPPES

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

DR. PRAKASH PATEL M.D. (NPI 1396773685) is an individual internal medicine provider in Ventura, California, licensed in California (A52039) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1396773685
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRAKASH PATELCredential: M.D.
Location Address888 S HILL RDVentura, CA 93003-8400
Mailing Address888 S Hill RdVentura, CA 93003-8400 · (805) 477-6000 · Fax (805) 477-6269
Phone(805) 477-6000
Fax(805) 477-6269
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJune 28, 2006
Last NPPES UpdateNovember 30, 2021
✔ NPI 1396773685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A52039
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.
888 S HILL RD, Ventura, CA 93003
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

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. Prakash Patel 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 ID9537248083
PECOS Enrollment IDI20080508000444
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.

Medicare Billing Reassignment

Medicare enrollment records show Prakash Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
4.6 mi
Health Maintenance Organization
2103 E GONZALES RD
Oxnard, CA 93036
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1275756652 (805) 650-4700

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 93003 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

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. CATHERINE M HURLEY M.D.
Pediatrics (Adolescent Medicine)
888 S HILL RD
VENTURA, CA 93003
Ventura County (805) 477-6300
DR. ROY SCHNEIDER M.D.
Obstetrics & Gynecology
888 S HILL RD
VENTURA, CA 93003
Ventura County (805) 477-6464
STEPHANIE GRACE WEST MD
Pediatrics
888 S HILL RD
VENTURA, CA 93003
Ventura County (833) 574-2273
DR. OLTITA TIRZAMAN M.D.
Internal Medicine
888 S HILL RD
VENTURA, CA 93003
Ventura County (805) 477-6464
DR. ALBERT KAM M.D.
Internal Medicine
888 S HILL RD
VENTURA, CA 93003
Ventura County (805) 477-6000
DR. JAMES NOUD P.A.
Physician Assistant (Medical)
888 S HILL RD
VENTURA, CA 93003
Ventura County (805) 477-6464
MR. RENATO MANLUTAC P.T.
Physical Therapist
888 S HILL RD
VENTURA, CA 93003
Ventura County (805) 477-6305
DR. PAUL FELDHEIM M.D.
Pediatrics (Adolescent Medicine)
888 S HILL RD
VENTURA, CA 93003
Ventura County (805) 477-6464

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 Prakash Patel's NPI number?

The NPI number for Prakash Patel is 1396773685. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Prakash Patel located?

Prakash Patel practices at 888 S Hill Rd, Ventura, CA 93003. The listed phone number is (805) 477-6000.

What is Prakash Patel's specialty?

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

Is Prakash Patel enrolled in Medicare?

Yes. Prakash 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.

Which organization bills Medicare for Prakash Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prakash Patel reassigns Medicare benefits to Southern California Permanente Medical Group (Oxnard, CA). 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 Prakash Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prakash Patel accept?

Health plans from Humana list Prakash 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 Prakash Patel was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.