DR. PRATIK SHASHIKANT PATEL M.D.
NPI 1689012932
Emergency Medicine in Gainesville, FL
About Dr. Pratik Shashikant Patel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRATIK SHASHIKANT PATEL M.D. (NPI 1689012932) is an individual emergency medicine provider in Gainesville, Florida, licensed in Indiana (01083350A) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Dr. Pratik Shashikant 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.
Medicare Billing Reassignments
10Medicare enrollment records show Pratik Patel reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orlando, FL 32803
- Reassigned Medicare billing, Florida enrollment
- 619 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, Georgia enrollment
- 586 clinicians in this Medicare group
Brentwood, TN 37027
- Reassigned Medicare billing, Tennessee enrollment
- 208 clinicians in this Medicare group
Dyersburg, TN 38024
- Reassigned Medicare billing, Tennessee enrollment
- 256 clinicians in this Medicare group
Madison, IN 47250
- Reassigned Medicare billing, Indiana enrollment
- 598 clinicians in this Medicare group
Jasper, TX 75951
- Reassigned Medicare billing, Texas enrollment
- 133 clinicians in this Medicare group
Linton, IN 47441
- Reassigned Medicare billing, Indiana enrollment
- 106 clinicians in this Medicare group
Beaumont, TX 77702
- Reassigned Medicare billing, Texas enrollment
- 160 clinicians in this Medicare group
Gainesville, TX 76240
- Reassigned Medicare billing, Texas enrollment
- 1,193 clinicians in this Medicare group
Plainview, TX 79072
- Reassigned Medicare billing, Texas enrollment
- 217 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Union Hospital Inc
Acute Care Hospitals · Terre Haute, INTerre Haute Regional Hospital
Acute Care Hospitals · Terre Haute, INAscension St Vincent Clay
Critical Access Hospitals · Brazil, INAscension St Vincent Salem
Critical Access Hospitals · Salem, INChristus Southeast Texas- St Elizabeth
Acute Care Hospitals · Beaumont, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 1689012932. It was assigned to this individual provider in the NPPES registry on June 10, 2013.
Where is Pratik Patel located?
Pratik Patel practices at 1329 SW 16th St Ste 1210 Box 100371, Gainesville, FL 32610. The listed phone number is (352) 265-0559.
What is Pratik Patel's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
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 10 organizations: Florida Emergency Physicians Kang And Associates MD LLC (Orlando, FL), Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC), Carr PLLC (Brentwood, TN), T M Carr MD PC (Dyersburg, TN), Cep America LLC (Madison, IN) and 5 more organizations, listed in the Medicare section above. 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 Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Health and Oscar Insurance Company 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 Union Hospital Inc, Terre Haute Regional Hospital, Ascension St Vincent Clay, Ascension St Vincent Salem and Christus Southeast Texas- St Elizabeth.
When was this NPI record last updated?
The NPPES record for Pratik Patel was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Pratik Shashikant Patel, M.D. · NPI 1689012932
Emergency Medicine physician in Gainesville, Florida. Individual provider, active in the CMS NPPES registry since June 10, 2013.
## Identity
- **NPI:** 1689012932 (Entity type: Individual)
- **Enumerated:** June 10, 2013
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 01083350A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1329 SW 16TH ST STE 1210, BOX 100371, Gainesville, FL 32610-0186
- **Phone:** (352) 265-0559
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Florida Emergency Physicians Kang And Associates MD LLC (NPI 1811983752, Orlando, FL); Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC); Carr PLLC (NPI 1548677610, Brentwood, TN); T M Carr MD PC (NPI 1992706097, Dyersburg, TN); Cep America LLC (NPI 1720850233, Madison, IN); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** October 14, 2020
- **Other identifiers:** Medicaid 017514200 (FL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1689012932) · Data from the CMS NPPES public registry.