PRAVINCHANDRA C PATEL MD
NPI 1548233448
Internal Medicine in Quincy, IL

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
1025 MAINE ST, QUINCY, IL 62301(217) 222-6550 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pravinchandra C Patel Md NPPES

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

PRAVINCHANDRA C PATEL MD (NPI 1548233448) is an individual internal medicine provider in Quincy, Illinois, licensed in Illinois (036073434) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1548233448
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRAVINCHANDRA C PATELCredential: MD
Location Address1025 MAINE STQuincy, IL 62301-4038
Mailing Address1025 Maine StQuincy, IL 62301-4038 · (217) 222-6550
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateFebruary 10, 2006
Last NPPES UpdateApril 11, 2011
NPI 1548233448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036073434
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.
1025 MAINE ST, Quincy, IL 62301

Other Identifiers 4

Medicare PIN110146207IL
Medicare UPINE31306
Medicaid036073434IL
Medicare PIN900921IL

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

Pravinchandra C 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 ID7911033147
PECOS Enrollment IDI20100326000949
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 2

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
469 services289 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
98 services97 patients

Hospital Affiliations CMS Care Compare

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62301 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims66 services$6.71 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers21 claims21 services$20.92 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers24 claims27 services$8.33 avg. paid by Medicare
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203
DME-Medical/Surgical Supplies · category DA023N
2 suppliers15 claims469 services$3.04 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers11 claims49 services$2.33 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$18.79 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.

Orthopaedic Surgery
1025 MAINE ST
QUINCY, IL 62301
Counselor (Professional)
1025 MAINE ST
QUINCY, IL 62301
Physical Therapist
1025 MAINE ST
QUINCY, IL 62301
Counselor (Professional)
1025 MAINE ST
QUINCY, IL 62301
Family Medicine
1025 MAINE ST
QUINCY, IL 62301
Pharmacist
1025 MAINE ST
QUINCY, IL 62301
Family Medicine
1025 MAINE ST
QUINCY, IL 62301
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1025 MAINE ST
QUINCY, IL 62301

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 Pravinchandra Patel's NPI number?

The NPI number for Pravinchandra Patel is 1548233448. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Pravinchandra Patel located?

Pravinchandra Patel practices at 1025 Maine St, Quincy, IL 62301. The listed phone number is (217) 222-6550.

What is Pravinchandra Patel's specialty?

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

Is Pravinchandra Patel enrolled in Medicare?

Yes. Pravinchandra 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.

Is Pravinchandra Patel affiliated with any hospitals?

According to CMS data, Pravinchandra Patel is affiliated with Blessing Hospital.

When was this NPI record last updated?

The NPPES record for Pravinchandra Patel was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.