DR. PRAVINKUMAR P PATEL M.D.
NPI 1417225277
Specialist in Erie, PA

Q: What is Pravinkumar Patel's NPI number?

The NPI number for Pravinkumar Patel is 1417225277. It was assigned to this individual provider in the NPPES registry on December 8, 2011.

Q: What is Pravinkumar Patel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Pravinkumar Patel was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since December 08, 2011PECOS Enrolled

3800 W 12TH ST, ERIE, PA 16505(814) 580-9696(814) 520-6938 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Pravinkumar P Patel M.d. NPPES

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

DR. PRAVINKUMAR P PATEL M.D. (NPI 1417225277) is an individual specialist in Erie, Pennsylvania, licensed in Pennsylvania (MD037051L) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417225277

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. PRAVINKUMAR P PATELCredential: M.D.

Location Address3800 W 12TH STErie, PA 16505-3380

Mailing Address3800 W 12th StErie, PA 16505-3380 · (814) 580-9696 · Fax (814) 520-6938

Phone(814) 580-9696

Fax(814) 520-6938

Sole ProprietorYes

Enumeration DateDecember 8, 2011

Last NPPES UpdateMarch 14, 2017

✔ NPI 1417225277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in PA · MD037051L

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3800 W 12TH ST, Erie, PA 16505

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Other Identifiers 1

Medicare PIN517995NLYPA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pravinkumar P Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Pravinkumar Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Redi Care Physicians, Inc

273 mi

General Practice

2461 NAZARETH RD, 25TH ST. SHOPPING CENTER
Easton, PA 18045

Reassigned Medicare billing, Pennsylvania enrollment
10 clinicians in this Medicare group

NPI 1568417418 (610) 258-5300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

AMY LYNN BURICK LPC

Counselor (Professional)

3800 W 12TH ST
ERIE, PA 16505

Erie County (814) 464-5506

DR. ANUTI NGANGANA

Counselor (Mental Health)

3800 W 12TH ST
ERIE, PA 16505

Erie County (814) 482-2209

JENNIFER L PFEFFER LCSW

Social Worker (Clinical)

3800 W 12TH ST
ERIE, PA 16505

Erie County (814) 923-8410

MR. MICHAEL JOSEPH KNIGHT JR. LMHC

Counselor (Mental Health)

3800 W 12TH ST
ERIE, PA 16505

Erie County (814) 482-2209

KENNETH R MINK MD

Dermatology (Procedural Dermatology)

3800 W 12TH ST
ERIE, PA 16505

Erie County (814) 833-0399

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 Pravinkumar Patel's NPI number?

The NPI number for Pravinkumar Patel is 1417225277. It was assigned to this individual provider in the NPPES registry on December 8, 2011.

Where is Pravinkumar Patel located?

Pravinkumar Patel practices at 3800 W 12th St, Erie, PA 16505. The listed phone number is (814) 580-9696.

What is Pravinkumar Patel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Pravinkumar Patel enrolled in Medicare?

Yes. Pravinkumar Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pravinkumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pravinkumar Patel reassigns Medicare benefits to Redi Care Physicians, Inc (Easton, PA). 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 Pravinkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pravinkumar Patel was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.