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DR. PRATIKKUMAR PATEL M.D.M.P.H
NPI 1467747527
Pediatrics - Pediatric Gastroenterology in Charleston, WV

Active since June 16, 2011PECOS Enrolled
830 PENNSYLVANIA AVE STE 401, CHARLESTON, WV 25302(304) 388-1552 Get Directions Write a Review

NPPES record last updated: July 3, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Pratikkumar Patel M.d.m.p.h NPPES

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

DR. PRATIKKUMAR PATEL M.D.M.P.H (NPI 1467747527) is an individual pediatric gastroenterology provider in Charleston, West Virginia, licensed in West Virginia (27506) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467747527
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. PRATIKKUMAR PATELCredential: M.D.M.P.H
Location Address830 PENNSYLVANIA AVE STE 401Charleston, WV 25302-3390
Mailing Address6431 Fannin St, Suite 3.137Houston, TX 77030-1501
Phone(304) 388-1552
Sole ProprietorNo
Enumeration DateJune 16, 2011
Last NPPES UpdateJuly 3, 2017
✔ NPI 1467747527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in WV · 27506
Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatricsTaxonomy 208000000X · License 27506 (WV)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10040436 (TX)
830 PENNSYLVANIA AVE STE 401, Charleston, WV 25302
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Other Names 1

Other Name (5)Dr. Pratik Patel M.d.m.p.h.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Dr. Pratikkumar Patel M.d.m.p.h is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25302 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 Pratikkumar Patel's NPI number?

The NPI number for Pratikkumar Patel is 1467747527. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Where is Pratikkumar Patel located?

Pratikkumar Patel practices at 830 Pennsylvania Ave Ste 401, Charleston, WV 25302. The listed phone number is (304) 388-1552.

What is Pratikkumar Patel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Pratikkumar Patel enrolled in Medicare?

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

What insurance does Pratikkumar Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Pratikkumar 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.

When was this NPI record last updated?

The NPPES record for Pratikkumar Patel was last updated on July 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.