PRATIK ASHVIN PATEL MD
NPI 1447698485
Internal Medicine - Cardiovascular Disease in Gastonia, NC

Active since June 12, 2013PECOS EnrolledAccepts Medicare Assignment
2555 COURT DR STE 200, GASTONIA, NC 28054(704) 867-2141(704) 867-2308 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2022, Sep 22, 2022, Mar 17, 2021 and 1 more (4 updates tracked since 2020).

About Pratik Ashvin Patel Md NPPES

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

PRATIK ASHVIN PATEL MD (NPI 1447698485) is an individual cardiovascular disease provider in Gastonia, North Carolina, licensed in North Carolina (2022-02232) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of Wayne State University School Of Medicine (2013).

NPPES Registry Identity

NPI1447698485
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NamePRATIK ASHVIN PATELCredential: MD
Location Address2555 COURT DR STE 200Gastonia, NC 28054-2178
Mailing AddressPo Box 744786Atlanta, GA 30374-4786 · (704) 834-2450 · Fax (704) 671-5331
Fax(704) 867-2308
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2013
Enumeration DateJune 12, 2013
Last NPPES UpdateOctober 4, 20224 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
NPI 1447698485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in NC · 2022-02232 Licensed in FL · ME145519
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 58158 (MN)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 2022-02232 (NC)
2555 COURT DR STE 200, Gastonia, NC 28054

Accepted 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

Pratik Ashvin 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 ID3870733777
PECOS Enrollment IDI20221130000973
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 18

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.

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.
85 services85 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services50 patients
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.
78 services47 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
60 services60 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
58 services58 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
40 services39 patients

Hospital Affiliations CMS Care Compare

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

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

Internal Medicine (Cardiovascular Disease)
2555 COURT DR STE 200
GASTONIA, NC 28054
Nurse Practitioner (Family)
2555 COURT DR STE 200
GASTONIA, NC 28054
Nurse Practitioner (Acute Care)
2555 COURT DR STE 200
GASTONIA, NC 28054
Physician Assistant
2555 COURT DR STE 200
GASTONIA, NC 28054
Nurse Practitioner (Acute Care)
2555 COURT DR STE 200
GASTONIA, NC 28054
Nurse Practitioner (Acute Care)
2555 COURT DR STE 200
GASTONIA, NC 28054
Internal Medicine (Clinical Cardiac Electrophysiology)
2555 COURT DR STE 200
GASTONIA, NC 28054
Physician Assistant
2555 COURT DR STE 200
GASTONIA, NC 28054

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 Pratik Patel's NPI number?

The NPI number for Pratik Patel is 1447698485. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Pratik Patel located?

Pratik Patel practices at 2555 Court Dr Ste 200, Gastonia, NC 28054. The listed phone number is (704) 867-2141.

What is Pratik Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Pratik Patel enrolled in Medicare?

Yes. Pratik 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 Pratik Patel accept?

Health plans from Blue Cross and Blue Shield of NC list Pratik 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.

Is Pratik Patel affiliated with any hospitals?

According to CMS data, Pratik Patel is affiliated with Caromont Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Pratik Patel was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.