DR. PRISHA PATEL MD
NPI 1528644978
Family Medicine in Playa Vista, CA

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment
12746 W JEFFERSON BLVD STE 3000, PLAYA VISTA, CA 90094(424) 314-0440 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2024, Nov 13, 2023, Apr 15, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Prisha Patel Md NPPES

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

DR. PRISHA PATEL MD (NPI 1528644978) is an individual family medicine provider in Playa Vista, California, licensed in California (A184966) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Jose, and is a graduate of Tulane University School Of Medicine (2021).

NPPES Registry Identity

NPI1528644978
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PRISHA PATELCredential: MD
Location Address12746 W JEFFERSON BLVD STE 3000Playa Vista, CA 90094-2885
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2021
Enumeration DateMarch 23, 2021
Last NPPES UpdateNovember 13, 20244 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1528644978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A184966
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12746 W JEFFERSON BLVD STE 3000, Playa Vista, CA 90094

Secondary Practice Location 1

Location 1276 International Cir Fl 1San Jose, CA 95119-1130 · Phone (408) 362-4791

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Prisha Patel Md 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 ID6103207022
PECOS Enrollment IDI20241111002784
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Prisha Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
6500 WILSHIRE BLVD FL 15
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 2,118 clinicians in this Medicare group
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Multi-Specialty
9390 BIG HORN BLVD
Elk Grove, CA 95758
  • Reassigned Medicare billing, California enrollment
  • 918 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90094 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
12746 W JEFFERSON BLVD STE 3000
LOS ANGELES, CA 90094

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 Prisha Patel's NPI number?

The NPI number for Prisha Patel is 1528644978. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Prisha Patel located?

Prisha Patel practices at 12746 W Jefferson Blvd Ste 3000, Playa Vista, CA 90094. The listed phone number is (424) 314-0440.

What is Prisha Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Prisha Patel enrolled in Medicare?

Yes. Prisha 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.

Which organizations bill Medicare for Prisha Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prisha Patel reassigns Medicare benefits to 3 organizations: Cedars-Sinai Medical Care Foundation (Los Angeles, CA), Permanente Medical Group Inc (Santa Clara, CA) and Regents Of The University Of California (Elk Grove, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prisha Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Prisha Patel was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.