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PRATIK S PATEL MD
NPI 1629651575
Ophthalmology - Retina Specialist in Lancaster, CA

Active since April 29, 2021PECOS EnrolledAccepts Medicare Assignment
44815 FIG AVE, LANCASTER, CA 93534(661) 206-8469(661) 206-8924 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 28, 2026, May 22, 2026, Jun 29, 2025 and 1 more (4 updates tracked since 2021).

About Pratik S Patel Md NPPES

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

PRATIK S PATEL MD (NPI 1629651575) is an individual retina specialist in Lancaster, California, licensed in California (A207161) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629651575
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NamePRATIK S PATELCredential: MD
Location Address44815 FIG AVELancaster, CA 93534-3144
Mailing Address44815 Fig AveLancaster, CA 93534-3144 · (800) 898-2020 · Fax (661) 206-8924
Phone(661) 206-8469
Fax(661) 206-8924
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 29, 2021
Last NPPES UpdateMay 28, 20264 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1629651575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Licenses✔ Licensed in CA · A207161✔ Licensed in FL · ME174089
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
44815 FIG AVE, Lancaster, CA 93534
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12400 N BroadwayLos Angeles, CA 90031-2219 · Phone (800) 898-2020 · Fax (323) 221-0738
Location 2900 NW 17th StMiami, FL 33136-1119 · Phone (130) 532-6600
Location 31127 Wilshire Blvd Ste 504Los Angeles, CA 90017-3906 · Phone (800) 898-2020 · Fax (213) 413-7303

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 Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

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

Pratik S 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 ID6204342165
PECOS Enrollment IDI20250718001735, I20260605002815
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

2

Medicare enrollment records show Pratik Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Retina Institute Of California Medical Group, A California Medical Par
39 mi
Ophthalmology
100 E CALIFORNIA BLVD
Pasadena, CA 91105
  • Reassigned Medicare billing, California enrollment
  • 83 clinicians in this Medicare group
NPI 1760541569 (800) 898-2020
University Of Miami
2,234 mi
Ambulatory Surgical
3880 TAMIAMI TRL N
Naples, FL 34103
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1295279586 (239) 659-3037

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 93534 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 7

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

DEVON KENNEDY O.D.
Optometrist
44815 FIG AVE
LANCASTER, CA 93534
Los Angeles County (661) 206-9753
YHAIR DESANTIAGO
Optometrist
44815 FIG AVE
LANCASTER, CA 93534
Los Angeles County (661) 206-8469
DR. SYDNI GLASS OD
Optometrist
44815 FIG AVE
LANCASTER, CA 93534
Los Angeles County (661) 206-8469
RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR
Optometrist
44815 FIG AVE
LANCASTER, CA 93534
Los Angeles County (661) 206-8469
TRILOGY EYE MEDICAL GROUP, INC.
Specialist
44815 FIG AVE
LANCASTER, CA 93534
Los Angeles County (661) 206-9753
DR. PRATHANA DHAR OD
Optometrist
44815 FIG AVE
LANCASTER, CA 93534
Los Angeles County (800) 898-2020
MRS. AVNEET KAUR SODHI-GAUR M.D.
Ophthalmology
44815 FIG AVE
LANCASTER, CA 93534
Los Angeles County (661) 949-5955

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 1629651575. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Pratik Patel located?

Pratik Patel practices at 44815 Fig Ave, Lancaster, CA 93534. The listed phone number is (661) 206-8469.

What is Pratik Patel's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

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.

Which organizations bill Medicare for Pratik Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratik Patel reassigns Medicare benefits to 2 organizations: Retina Institute Of California Medical Group, A California Medical Par (Pasadena, CA) and University Of Miami (Naples, FL). 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 Pratik Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pratik Patel accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 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 May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.