DR. PRAMEELA N PATEL MD
NPI 1457334161
Family Medicine in Sterling Heights, MI

Q: What is Prameela Patel's NPI number?

The NPI number for Prameela Patel is 1457334161. It was assigned to this individual provider in the NPPES registry on November 28, 2005. The provider is also known as Prameela Nagaraju.

Q: What is Prameela Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Prameela Patel was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 28, 2005PECOS EnrolledAccepts Medicare Assignment

43455 SCHOENHERR RD, STE 2, STERLING HEIGHTS, MI 48313(586) 726-4823(586) 726-8365 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Prameela N Patel Md NPPES

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

DR. PRAMEELA N PATEL MD (NPI 1457334161) is an individual family medicine provider in Sterling Heights, Michigan, licensed in Michigan (4301078853) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1457334161

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. PRAMEELA N PATELCredential: MD

Location Address43455 SCHOENHERR RD, STE 2Sterling Heights, MI 48313-1951

Mailing Address43455 Schoenherr Rd, Ste 2Sterling Heights, MI 48313-1951 · (586) 726-4823 · Fax (586) 726-8365

Phone(586) 726-4823

Fax(586) 726-8365

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateNovember 28, 2005

Last NPPES UpdateJuly 13, 2007

✔ NPI 1457334161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301078853

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

43455 SCHOENHERR RD, Sterling Heights, MI 48313

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Other Names 1

Former Name (1)Prameela Nagaraju

Other Identifiers 1

Medicare UPINI41962MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.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. Prameela N 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 ID6901857150

PECOS Enrollment IDI20051001000051

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

Silver Pine Medical Group Plc

Same address

Family Medicine

43455 SCHOENHERR, SUITE 2
Sterling Heights, MI 48313

Reassigned Medicare billing, Michigan enrollment
44 clinicians in this Medicare group

NPI 1639105695 (586) 726-4823

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

Areas of Expertise CMS Part B claims 13

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

117 services72 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

115 services68 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

105 services66 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

92 services61 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

82 services62 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.

73 services57 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

61 services48 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

61 services61 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

44 services26 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

19 services14 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

19 services14 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

16 services12 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

15 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230089

Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County

Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48313 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers15 claims28 services$4.43 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$13.83 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$64.07 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

DR. FABIAN L FREGOLI M.D.

Family Medicine

43455 SCHOENHERR RD, SUITE 2
STERLING HEIGHTS, MI 48313

Macomb County (586) 726-4823

PARAG PATEL

Family Medicine

43455 SCHOENHERR RD, STE. 2
STERLING HEIGHTS, MI 48313

Macomb County (586) 726-4823

ADVANCED PHYSICIAN CARE ORGANIZATION PLLC

Family Medicine

43455 SCHOENHERR RD, SUITE 17
STERLING HEIGHTS, MI 48313

Macomb County (586) 726-4823

ADVANCED PHYSICIAN CARE ORGANIZATION PLLC

Family Medicine

43455 SCHOENHERR RD, SUITE 17
STERLING HEIGHTS, MI 48313

Macomb County (586) 726-4823

BASHA DENTAL PLLC

Dentist (General Practice)

43455 SCHOENHERR RD, SUITE 1
STERLING HEIGHTS, MI 48313

Macomb County (586) 323-1100

MRS. JULIE BRUSCA APRN MSN FNP-BC

Clinical Nurse Specialist (Family Health)

43455 SCHOENHERR RD
STERLING HEIGHTS, MI 48313

Macomb County (586) 344-2568

AMANDA RENAYE GOOLD MSN, APRN, FNP-C

Nurse Practitioner (Family)

43455 SCHOENHERR RD
STERLING HEIGHTS, MI 48313

Macomb County (586) 726-4823

DR. HEATHER M RUPPEL MD

Family Medicine

43455 SCHOENHERR RD, SUITE 2
STERLING HEIGHTS, MI 48313

Macomb County (586) 726-4823

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 Prameela Patel's NPI number?

The NPI number for Prameela Patel is 1457334161. It was assigned to this individual provider in the NPPES registry on November 28, 2005. The provider is also known as Prameela Nagaraju.

Where is Prameela Patel located?

Prameela Patel practices at 43455 Schoenherr Rd Ste 2, Sterling Heights, MI 48313. The listed phone number is (586) 726-4823.

What is Prameela Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Prameela Patel enrolled in Medicare?

Yes. Prameela 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 Prameela Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prameela Patel reassigns Medicare benefits to Silver Pine Medical Group Plc (Sterling Heights, MI). 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 Prameela Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prameela Patel accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Prameela 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 Prameela Patel affiliated with any hospitals?

According to CMS data, Prameela Patel is affiliated with Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Prameela Patel was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.