1. Home
  2. Directory
  3. Massachusetts
  4. Tewksbury
  5. Psychiatry Neurology
  6. NPI Profile

DR. SAMIR PRAVINCHANDRA PATEL M.D.
NPI 1457342420
Psychiatry & Neurology - Geriatric Psychiatry in Tewksbury, MA

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
365 EAST ST, TEWKSBURY, MA 01876(781) 306-6165(781) 306-6146 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 6, 2024, Jul 14, 2017 (2 updates tracked since 2017).

About Dr. Samir Pravinchandra Patel M.d. NPPES

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

DR. SAMIR PRAVINCHANDRA PATEL M.D. (NPI 1457342420) is an individual geriatric psychiatry provider in Tewksbury, Massachusetts, licensed in Massachusetts (76085) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and maintains a secondary practice location in Beverly.

NPPES Registry Identity

NPI1457342420
Entity TypeIndividualMale
Primary Taxonomy2084P0805X
Provider Legal NameDR. SAMIR PRAVINCHANDRA PATELCredential: M.D.
Location Address365 EAST STTewksbury, MA 01876-1950
Mailing Address14 Fellsmere AveWakefield, MA 01880-3681 · (781) 246-2747
Phone(781) 306-6165
Fax(781) 306-6146
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1991
Enumeration DateOctober 31, 2005
Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1457342420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
License✔ Licensed in MA · 76085
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
365 EAST ST, Tewksbury, MA 01876
Open in Google Maps ↗

Secondary Practice Location 1

Location 185 Herrick StBeverly, MA 01915-1790 · Phone (978) 816-3700

Other Identifiers 3

Other83588MA · United Beh Health
Other076805MA · Tufts Health Plan
Medicaid3112608MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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. Samir Pravinchandra 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 ID4183523319
PECOS Enrollment IDI20040107000098
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

7

Medicare enrollment records show Samir Patel reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Commonwealth Of Massachusetts
0.2 mi
Long Term Care Hospital
365 EAST STREET
Tewksbury, MA 01876
  • Reassigned Medicare billing, Massachusetts enrollment
  • 97 clinicians in this Medicare group
NPI 1871680496 (978) 851-7321
Beth Israel Lahey Health Specialty Care, Inc.
6.8 mi
Urology
41 MALL RD LAHEY HOSPITAL & MEDICAL CENTER
Burlington, MA 01805
  • Reassigned Medicare billing, Massachusetts enrollment
  • 477 clinicians in this Medicare group
NPI 1427161660 (978) 927-0714
360hc Specialty Services LLC
6.8 mi
Nephrology
10 MALL RD STE 301
Burlington, MA 01803
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6 clinicians in this Medicare group
NPI 1346121795 (781) 488-6843
Malik MD Health Services, LLC
6.8 mi
Nephrology
10 MALL RD STE 301
Burlington, MA 01803
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4 clinicians in this Medicare group
NPI 1548913031 (781) 488-6843
Hallmark Health System Inc
14 mi
Internal Medicine
170 GOVERNORS AVE
Medford, MA 02155
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Melrosewakefield Healthcare, Inc
  • 140 clinicians in this Medicare group
NPI 1275673667 (781) 979-3050
Pratt Psychiatric Associates, Inc
20 mi
Psychiatry
800 WASHINGTON ST, BOX 1013
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 90 clinicians in this Medicare group
NPI 1245270875 (617) 636-5000
Harbor Health Services Inc
22 mi
Community Health
250 MOUNT VERNON ST
Dorchester, MA 02125
  • Reassigned Medicare billing, Massachusetts enrollment
  • 76 clinicians in this Medicare group
NPI 1659330496 (617) 288-1140

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 6

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
509 services147 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.
186 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
52 services30 patients
Therapy using electrical currents 90870
Therapy using electrical currents, also known as electrotherapy, involves applying small electrical pulses to your body to stimulate healing. It can help manage pain, improve circulation, repair tissues, and strengthen muscles. It's a safe, non-invasive treatment often used in physical therapy.
38 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services37 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01876 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

MS. FELICE DE RUGGIERO LICSW, LADC-1
Social Worker (Clinical)
365 EAST ST
TEWKSBURY, MA 01876
Middlesex County (978) 863-5068
JEAN R O'FARRELL RN/NP
Nurse Practitioner
365 EAST ST
TEWKSBURY, MA 01876
Middlesex County (978) 851-7321
DENISE E GUILBEAULT LICSW
Social Worker (Clinical)
365 EAST ST
TEWKSBURY, MA 01876
Middlesex County (978) 851-7261
SARAH S SPRATT M.D.
Psychiatry & Neurology (Psychiatry)
365 EAST ST
TEWKSBURY, MA 01876
Middlesex County (978) 851-7321
MRS. ELIZABETH ANN MULHOLLAND ADULT PSYCHIATRIC ME
Nurse Practitioner (Psychiatric/Mental Health)
365 EAST ST
TEWKSBURY, MA 01876
Middlesex County (978) 851-7321
HAYLEY PARE
Counselor
365 EAST ST
TEWKSBURY, MA 01876
Middlesex County (978) 259-4642
KIANA FRAZIER
Case Manager/Care Coordinator
365 EAST ST
TEWKSBURY, MA 01876
Middlesex County (774) 407-1019
MS. DEBORAH M. PARON COTA-L
Occupational Therapy Assistant
365 EAST ST
TEWKSBURY, MA 01876
Middlesex County (978) 851-7321

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 Samir Patel's NPI number?

The NPI number for Samir Patel is 1457342420. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Samir Patel located?

Samir Patel practices at 365 East St, Tewksbury, MA 01876. The listed phone number is (781) 306-6165.

What is Samir Patel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Is Samir Patel enrolled in Medicare?

Yes. Samir 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 organizations bill Medicare for Samir Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samir Patel reassigns Medicare benefits to 7 organizations: The Commonwealth Of Massachusetts (Tewksbury, MA), Beth Israel Lahey Health Specialty Care, Inc. (Burlington, MA), 360hc Specialty Services LLC (Burlington, MA), Malik MD Health Services, LLC (Burlington, MA), Hallmark Health System Inc (Medford, MA) and 2 more organizations, listed in the Medicare section above. 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 Samir Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samir Patel accept?

Health plans from Harvard Pilgrim Health Care list Samir 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 Samir Patel affiliated with any hospitals?

According to CMS data, Samir Patel is affiliated with Melrosewakefield Healthcare.

When was this NPI record last updated?

The NPPES record for Samir Patel was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.