PRACHI PATEL M.B.B.S
NPI 1447945142
Internal Medicine in Redlands, CA

Active since April 07, 2023PECOS Enrolled
OPTUM 2 W. FERN AVE, REDLANDS, CA 92373(909) 335-4102 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2026, Jul 13, 2026, Apr 7, 2023 (3 updates tracked since 2023).

About Prachi Patel M.b.b.s NPPES

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

PRACHI PATEL M.B.B.S (NPI 1447945142) is an individual internal medicine provider in Redlands, California, licensed in California (A210535) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1447945142
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRACHI PATELCredential: M.B.B.S
Location AddressOPTUM 2 W. FERN AVERedlands, CA 92373
Mailing Address11019 64th AveForest Hills, NY 11375-1428 · (917) 683-3053
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 7, 2023
Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1447945142 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 · A210535
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.
OPTUM 2 W. FERN AVE, Redlands, CA 92373

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prachi Patel M.b.b.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587122080
PECOS Enrollment IDI20260814003315
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 Reassignments

2

Medicare enrollment records show Prachi Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2 WEST FERN AVENUE
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 635 clinicians in this Medicare group
Hospitalist
29910 MURRIETA HOT SPRINGS RD STE G117
Murrieta, CA 92563
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group

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 92373 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Prachi Patel's NPI number?

The NPI number for Prachi Patel is 1447945142. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Prachi Patel located?

Prachi Patel practices at Optum 2 W. Fern Ave, Redlands, CA 92373. The listed phone number is (909) 335-4102.

What is Prachi Patel's specialty?

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

Is Prachi Patel enrolled in Medicare?

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

Which organizations bill Medicare for Prachi Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prachi Patel reassigns Medicare benefits to 2 organizations: Beaver Medical Group P C (Redlands, CA) and Inland Empire Hospitalists Group (Murrieta, CA). Each 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 Prachi 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 Prachi Patel was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.