DR. JAY PRAVIN PATEL M.D., MBA
NPI 1467985051
Internal Medicine in Vincennes, IN

Q: What is Jay Patel's NPI number?

The NPI number for Jay Patel is 1467985051. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Q: What is Jay Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jay Patel was last updated on October 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 10, 2017PECOS EnrolledAccepts Medicare Assignment

80.87/100

CMS Quality Rating

520 S 7TH ST, VINCENNES, IN 47591(812) 882-5220 Get Directions Write a Review

NPPES record last updated: October 15, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 15, 2022, Mar 2, 2022, Jun 23, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Jay Pravin Patel M.d., Mba NPPES

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

DR. JAY PRAVIN PATEL M.D., MBA (NPI 1467985051) is an individual internal medicine provider in Vincennes, Indiana, licensed in Indiana (01083669B) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Williamson Medical Center, and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1467985051

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JAY PRAVIN PATELCredential: M.D., MBA

Location Address520 S 7TH STVincennes, IN 47591-1038

Mailing Address520 S 7th StVincennes, IN 47591-1038

Phone(812) 882-5220

Sole ProprietorNo

Medical School CMSYale University School Of MedicineGraduated 2017

Enumeration DateApril 10, 2017

Last NPPES UpdateOctober 15, 20224 updates tracked since enumeration

NPPES CertifiedOctober 15, 2022

✔ NPI 1467985051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in IN · 01083669B✔ Licensed in TN · 58115

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

520 S 7TH ST, Vincennes, IN 47591

Open in Google Maps ↗

Secondary Practice Location 1

Location 111109 Parkview Plaza DrFort Wayne, IN 46845-1701 · Phone (260) 266-2020 · Fax (260) 266-2009

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dr. Jay Pravin Patel M.d., Mba 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 ID648601542

PECOS Enrollment IDI20260601002142

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

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

29 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Williamson Medical Center

Acute Care Hospitals · Franklin, TN

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440029

Location4321 Carothers ParkwayFranklin, TN 37067 · Williamson County

Emergency services Birthing friendly

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520051

Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47591 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.87/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.47

Improvement Activities

Cost

57.57

Referred Medical Equipment & Supplies CMS DME claims 2

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

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

DME-Oxygen and Supplies · category DC000N

5 suppliers41 claims41 services$23.23 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

4 suppliers41 claims41 services$100.99 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 20

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

DENNIS MARTIN JILKA MD

General Practice

520 S 7TH ST
VINCENNES, IN 47591

Knox County (812) 885-6980

DR. ALAN D STEWART M.D.

Internal Medicine

520 S 7TH ST
VINCENNES, IN 47591

Knox County (812) 885-3601

MR. RYAN ROSS BOND PHARMD

Pharmacist

520 S 7TH ST
VINCENNES, IN 47591

Knox County (812) 882-5220

ELLEN KEYES PHARM.D.

Pharmacist

520 S 7TH ST
VINCENNES, IN 47591

Knox County (812) 885-3863

MARTIN CHRISTOPHER JAMES WINKLER

Physician Assistant

520 S 7TH ST
VINCENNES, IN 47591

Knox County (812) 882-5220

MR. MARK E. SHIELDS R.PH.

Pharmacist

520 S 7TH ST, PHARMACY DEPARTMENT
VINCENNES, IN 47591

Knox County (812) 885-3348

ALLYSON MICHELLE WEHRHEIM PA-C

Physician Assistant (Medical)

520 S 7TH ST
VINCENNES, IN 47591

Knox County (812) 882-5220

DR. SHAWN CURRY MD

Internal Medicine

520 S 7TH ST
VINCENNES, IN 47591

Knox County (812) 885-6990

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 Jay Patel's NPI number?

The NPI number for Jay Patel is 1467985051. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Jay Patel located?

Jay Patel practices at 520 S 7th St, Vincennes, IN 47591. The listed phone number is (812) 882-5220.

What is Jay Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jay Patel enrolled in Medicare?

Yes. Jay 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 Jay Patel accept?

Health plans from CareSource list Jay 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 Jay Patel affiliated with any hospitals?

According to CMS data, Jay Patel is affiliated with Williamson Medical Center and Ascension Columbia St Mary's Hospital Milwaukee.

When was this NPI record last updated?

The NPPES record for Jay Patel was last updated on October 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.