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: August 16, 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 (Endodontics)
21145 WHITFIELD PL, SUITE #101
STERLING, VA 20165
Dentist (General Practice)
21145 WHITFIELD PL, SUITE 103
STERLING, VA 20165

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 Pratik Patel's NPI number?

The NPI number for Pratik Patel is 1508010026. It was assigned to this individual provider in the NPPES registry on November 11, 2008.

Where is Pratik Patel located?

Pratik Patel practices at 21145 Whitfield Pl Suite 101, Sterling, VA 20165. The listed phone number is (703) 444-4229.

What is Pratik Patel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Pratik Patel enrolled in Medicare?

No. Pratik Patel has opted out of Medicare through April 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Pratik Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Pratik 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 Pratik Patel was last updated on July 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.