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PRIYESH SHARAD PATEL
NPI 1457913428
Family Medicine in Pontiac, MI

Active since July 01, 2019PECOS EnrolledAccepts Medicare Assignment
461 W HURON ST, PONTIAC, MI 48341(248) 857-7200 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2022, Jul 1, 2019 (2 updates tracked since 2019).

About Priyesh Sharad Patel NPPES

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

PRIYESH SHARAD PATEL (NPI 1457913428) is an individual family medicine provider in Pontiac, Michigan, licensed in Michigan (4351045733) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Promedica Coldwater Regional Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1457913428
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePRIYESH SHARAD PATEL
Location Address461 W HURON STPontiac, MI 48341-1601
Mailing Address42557 Woodward Ave, Ste 130Bloomfield Hills, MI 48304-5206 · (248) 454-1004
Phone(248) 857-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 1, 2019
Last NPPES UpdateAugust 2, 20222 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
✔ NPI 1457913428 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 · 4351045733
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.
461 W HURON ST, Pontiac, MI 48341
Open in Google Maps ↗

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, McLaren Health Plan Community and more.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

Priyesh Sharad Patel 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 ID8729460944
PECOS Enrollment IDI20220804003369
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 11

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.
167 services93 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.
90 services90 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
73 services73 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.
66 services16 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
60 services58 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.
54 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Promedica Coldwater Regional Hospital

Acute Care Hospitals · Coldwater, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230022
Location274 E Chicago StColdwater, MI 49036 · Branch County
Emergency services Birthing friendly

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Mclaren Oakland

Acute Care Hospitals · Pontiac, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230207
Location50 N Perry StPontiac, MI 48342 · Oakland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48341 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.

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.

PONTIAC GENERAL HOSPITAL & MEDICAL CENTERS
Radiology (Diagnostic Radiology)
461 W HURON ST, RADIOLOGY
PONTIAC, MI 48341
Oakland County (248) 857-7200
RONALD SCHMIER MD
Anesthesiology
461 W HURON ST, DEPARTMENT OF ANESTHESIA
PONTIAC, MI 48341
Oakland County (248) 857-7036
LORAND KRISTOF M.D.
Family Medicine
461 W HURON ST
PONTIAC, MI 48341
Oakland County (248) 857-6700
PRASANTH TALLURI
Psychiatry & Neurology (Psychiatry)
461 W HURON ST
PONTIAC, MI 48341
Oakland County (248) 857-6700
DR. WILLIAM M. SEROTE D.O.
Emergency Medicine
461 W HURON ST, NOMC EMERCENCY CENTER
PONTIAC, MI 48341
Oakland County (248) 857-7440
KATHLEEN KORNELI-GRADOWSKI PA
Physician Assistant
461 W HURON ST, NOMC FAMILY PRACTICE CENTER
PONTIAC, MI 48341
Oakland County (248) 857-7160
OAKLAND PROGRESSIVE MEDICAL GROUP, PLLC
Psychiatry & Neurology (Neurology)
461 W HURON ST, SUITE 600, SEMINOLE BUILDING
PONTIAC, MI 48341
Oakland County (248) 857-7500
PONTIAC GENERAL HOSPITAL AND MEDICAL CENTER
Internal Medicine (Cardiovascular Disease)
461 W HURON ST
PONTIAC, MI 48341
Oakland County (248) 857-7200

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 Priyesh Patel's NPI number?

The NPI number for Priyesh Patel is 1457913428. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Where is Priyesh Patel located?

Priyesh Patel practices at 461 W Huron St, Pontiac, MI 48341. The listed phone number is (248) 857-7200.

What is Priyesh Patel's specialty?

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

Is Priyesh Patel enrolled in Medicare?

Yes. Priyesh 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 Priyesh Patel accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Priyesh 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 Priyesh Patel affiliated with any hospitals?

According to CMS data, Priyesh Patel is affiliated with Promedica Coldwater Regional Hospital, Trinity Health Oakland Hospital and Mclaren Oakland.

When was this NPI record last updated?

The NPPES record for Priyesh Patel was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.