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PRATIK PATEL M.D.
NPI 1538515853
Internal Medicine - Gastroenterology in St Johns, FL

Active since May 05, 2016PECOS EnrolledAccepts Medicare Assignment
150 LONGLEAF PINE PKWY STE 200, ST JOHNS, FL 32259(904) 398-7205 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2025, Jun 9, 2021 (2 updates tracked since 2021).

About Pratik Patel M.d. NPPES

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

PRATIK PATEL M.D. (NPI 1538515853) is an individual gastroenterology provider in St Johns, Florida, licensed in Florida (ME168430) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1538515853
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePRATIK PATELCredential: M.D.
Location Address150 LONGLEAF PINE PKWY STE 200St Johns, FL 32259-7529
Mailing Address4800 Belfort RdJacksonville, FL 32256-6004 · (904) 398-7205
Phone(904) 398-7205
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 5, 2016
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1538515853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME168430
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
150 LONGLEAF PINE PKWY STE 200, St Johns, FL 32259
Open in Google Maps ↗

Secondary Practice Location 1

Location 14800 Belfort RdJacksonville, FL 32256-6004 · Phone (904) 398-7205

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Pratik Patel M.d. 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 ID9537439054
PECOS Enrollment IDI20250606003474
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.

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100361
Location205 Trinity WaySt Johns, FL 32259 · St. Johns County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32259 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims

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; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$38.25 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 15

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

REBECCA MARIE NOLES APRN
Nurse Practitioner (Family)
150 LONGLEAF PINE PKWY STE 200
JACKSONVILLE, FL 32259
St. Johns County (904) 652-0800
EMILY A POLAND DO
Internal Medicine (Gastroenterology)
150 LONGLEAF PINE PKWY STE 200
ST JOHNS, FL 32259
St. Johns County (904) 398-7205
KEVIN MUNISH COMAR MD
Internal Medicine (Gastroenterology)
150 LONGLEAF PINE PKWY STE 200
ST JOHNS, FL 32259
St. Johns County (904) 652-0800
MS. ALLISON BETH HENTKOWSKI PA-C
Physician Assistant (Medical)
150 LONGLEAF PINE PKWY STE 200
ST JOHNS, FL 32259
St. Johns County (904) 652-0800
RHIANNA FAGAN APRN
Nurse Practitioner (Family)
150 LONGLEAF PINE PKWY STE 200
ST JOHNS, FL 32259
St. Johns County (904) 652-0800
LINDSAY GILLESPIE GARRARD APRN
Nurse Practitioner (Family)
150 LONGLEAF PINE PKWY STE 200
ST JOHNS, FL 32259
St. Johns County (904) 398-7205
DESTENI MARIAH BARNES PA-C
Physician Assistant
150 LONGLEAF PINE PKWY STE 200
ST JOHNS, FL 32259
St. Johns County (904) 398-7205
DR. DONEVAN WESTERVELD M.D.
Internal Medicine (Gastroenterology)
150 LONGLEAF PINE PKWY STE 200
ST JOHNS, FL 32259
St. Johns County (904) 398-7205

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 1538515853. It was assigned to this individual provider in the NPPES registry on May 5, 2016.

Where is Pratik Patel located?

Pratik Patel practices at 150 Longleaf Pine Pkwy Ste 200, St Johns, FL 32259. The listed phone number is (904) 398-7205.

What is Pratik Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Pratik Patel enrolled in Medicare?

Yes. Pratik 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 Pratik Patel accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and UnitedHealthcare 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.

Is Pratik Patel affiliated with any hospitals?

According to CMS data, Pratik Patel is affiliated with Baptist Health Medical Center - Jacksonville and Ascension St Vincent's St Johns County.

When was this NPI record last updated?

The NPPES record for Pratik Patel was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.