Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PRAKASHCHANDRA B PATEL M.D.
NPI 1558384099
Internal Medicine - Pulmonary Disease in Smyrna, TN

Q: What is Prakashchandra Patel's NPI number?

The NPI number for Prakashchandra Patel is 1558384099. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Prakashchandra Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment

13181 OLD NASHVILLE HWY, SUITE 150, SMYRNA, TN 37167(615) 355-5105(615) 355-5195 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2026, Jan 23, 2026, Jan 15, 2026 and 4 more (7 updates tracked since 2016).

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About Dr. Prakashchandra B Patel M.d. NPPES

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

DR. PRAKASHCHANDRA B PATEL M.D. (NPI 1558384099) is an individual pulmonary disease provider in Smyrna, Tennessee, licensed in Tennessee (MD36535) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Tristar Skyline Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1558384099

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. PRAKASHCHANDRA B PATELCredential: M.D.

Location Address13181 OLD NASHVILLE HWY, SUITE 150Smyrna, TN 37167-4032

Mailing Address13181 Old Nashville Hwy Ste 150Smyrna, TN 37167-4034 · (615) 355-5105 · Fax (615) 355-5195

Phone(615) 355-5105

Fax(615) 355-5195

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateJuly 25, 2006

Last NPPES UpdateAugust 11, 20267 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1558384099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TN · MD36535

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 36535 (TN)

13181 OLD NASHVILLE HWY, Smyrna, TN 37167

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Secondary Practice Locations 3

Location 1110 Glancy St Ste 204Goodlettsville, TN 37072-2313 · Phone (615) 355-5105 · Fax (615) 355-5195

Location 22250 Thornton Taylor Pkwy Ste BFayetteville, TN 37334-3651 · Phone (615) 355-5105 · Fax (615) 355-5195

Location 31940 N Jackson St Ste 150Tullahoma, TN 37388-8257 · Phone (615) 355-5105

Other Identifiers 2

MedicaidQ002504TN

Medicaid3831649TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health 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

Dr. Prakashchandra B 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 ID3577666072

PECOS Enrollment IDI20070320000711

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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

154 services85 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

59 services37 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

57 services55 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

54 services53 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

21 services21 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440006

Location3441 Dickerson PikeNashville, TN 37207 · Davidson County

Emergency services

Lincoln Medical Center

Acute Care Hospitals · Fayetteville, TN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440102

Location106 Medical Center BlvdFayetteville, TN 37334 · Lincoln County

Emergency services Birthing friendly

Tristar Southern Hills Medical Center

Acute Care Hospitals · Nashville, TN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number440197

Location391 Wallace RdNashville, TN 37211 · Davidson County

Emergency services

Tristar Stonecrest Medical Center

Acute Care Hospitals · Smyrna, TN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number440227

Location200 Stonecrest BoulevardSmyrna, TN 37167 · Rutherford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37167 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 26

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

20 suppliers319 claims319 services$38.96 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

4 suppliers12 claims24 services$1.62 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

19 suppliers261 claims261 services$99.81 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

20 suppliers257 claims684 services$37.14 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

17 suppliers176 claims899 services$21.74 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

9 suppliers75 claims414 services$15.17 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

21 suppliers248 claims248 services$61.42 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

26 suppliers297 claims297 services$19.95 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

7 suppliers29 claims29 services$9.76 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

20 suppliers150 claims150 services$19.23 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

27 suppliers462 claims2,483 services$2.50 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

12 suppliers26 claims26 services$6.60 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

20 suppliers203 claims203 services$11.97 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

7 suppliers42 claims42 services$15.74 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

4 suppliers39 claims39 services$45.48 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

4 suppliers45 claims45 services$913.92 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

3 suppliers43 claims43 services$106.97 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

2 suppliers14 claims14 services$233.47 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

6 suppliers25 claims25 services$144.12 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers26 claims26 services$6.35 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

12 suppliers238 claims238 services$38.96 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

10 suppliers168 claims168 services$87.80 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

6 suppliers103 claims103 services$35.74 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers13 claims1,098 services$0.07 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

1 supplier13 claims68,250 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers29 claims29 services$22.59 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 4

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

KRISTA DELAINE GESSLER NP

Nurse Practitioner (Family)

13181 OLD NASHVILLE HWY, SUITE 150
SMYRNA, TN 37167

Rutherford County (615) 355-5105

AHMAD MUSTAFA RABI D.D.S.

Dentist

13181 OLD NASHVILLE HWY, SUITE 110
SMYRNA, TN 37167

Rutherford County (615) 459-9296

MID-STATE ORAL SURGERY OF SMYRNA

Clinic/Center (Oral and Maxillofacial Surgery)

13181 OLD NASHVILLE HWY
SMYRNA, TN 37167

Rutherford County (615) 441-1441

SMYRNA PULMONARY AND SLEEP ASSOCIATES PLLC

Internal Medicine (Pulmonary Disease)

13181 OLD NASHVILLE HWY, SUITE 150
SMYRNA, TN 37167

Rutherford County (615) 355-5105

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 Prakashchandra Patel's NPI number?

The NPI number for Prakashchandra Patel is 1558384099. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Prakashchandra Patel located?

Prakashchandra Patel practices at 13181 Old Nashville Hwy Suite 150, Smyrna, TN 37167. The listed phone number is (615) 355-5105.

What is Prakashchandra Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Prakashchandra Patel enrolled in Medicare?

Yes. Prakashchandra 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 Prakashchandra Patel accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Prakashchandra 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 Prakashchandra Patel affiliated with any hospitals?

According to CMS data, Prakashchandra Patel is affiliated with Tristar Skyline Medical Center, Lincoln Medical Center, Tristar Southern Hills Medical Center and Tristar Stonecrest Medical Center.

When was this NPI record last updated?

The NPPES record for Prakashchandra Patel was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.