PRATIK PATEL D.D.S.
NPI 1508010026
Dentist - Endodontics in Sterling, VA

Active since November 11, 2008Opted out of Medicare · through Apr 18, 2028
21145 WHITFIELD PL, SUITE 101, STERLING, VA 20165(703) 444-4229 Get Directions Write a Review

NPPES record last updated: July 4, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pratik Patel D.d.s. NPPES

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

PRATIK PATEL D.D.S. (NPI 1508010026) is an individual endodontics provider in Sterling, Virginia, licensed in Virginia (0401412083) and active in the NPI registry since November 2008. He has opted out of Medicare through April 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508010026
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NamePRATIK PATELCredential: D.D.S.
Location Address21145 WHITFIELD PL, SUITE 101Sterling, VA 20165-7282
Mailing AddressPo Box 288Mount Vernon, VA 22121-0288
Sole ProprietorYes
Enumeration DateNovember 11, 2008
Last NPPES UpdateJuly 4, 2012
NPI 1508010026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in VA · 0401412083
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 0401412083 (VA)
21145 WHITFIELD PL, Sterling, VA 20165

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Pratik Patel D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 18, 2016 through April 18, 2028.

Opt-Out Effective DateApril 18, 2016
Opt-Out In Effect ThroughApril 18, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20165 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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 2

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

Dentist (General Practice)
21145 WHITFIELD PL, SUITE 103
STERLING, VA 20165
Dentist (Endodontics)
21145 WHITFIELD PL, SUITE #101
STERLING, VA 20165

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508010026, enumerated as an "individual" on November 11, 2008.

The provider is located at 21145 WHITFIELD PL SUITE 101 STERLING, VA 20165 and the phone number is (703) 444-4229.

Dentist with taxonomy code 1223E0200X and a focus in Endodontics.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.