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
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

Other Names 1

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

Accepted 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

The NPI number assigned to this healthcare provider is 1467747527, enumerated as an "individual" on June 16, 2011.

The provider is located at 830 PENNSYLVANIA AVE STE 401 CHARLESTON, WV 25302 and the phone number is (304) 388-1552.

Pediatrics with taxonomy code 2080P0206X and a focus in Pediatric Gastroenterology.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.