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PRAMIT D. PATEL M.D.
NPI 1689013781
Hospitalist in Toledo, OH

Active since June 21, 2013PECOS Enrolled
2142 N COVE BLVD, TOLEDO, OH 43606(419) 291-4000(419) 479-6102 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 19, 2018, Aug 9, 2018, Jul 9, 2018 (3 updates tracked since 2018).

About Pramit D. Patel M.d. NPPES

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

PRAMIT D. PATEL M.D. (NPI 1689013781) is an individual hospitalist provider in Toledo, Ohio, licensed in Ohio (35129422) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1689013781
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePRAMIT D. PATELCredential: M.D.
Location Address2142 N COVE BLVDToledo, OH 43606
Mailing Address2142 N Cove BlvdToledo, OH 43606-3895 · (419) 291-4000 · Fax (419) 479-6102
Phone(419) 291-4000
Fax(419) 479-6102
Sole ProprietorYes
Enumeration DateJune 21, 2013
Last NPPES UpdateNovember 19, 20183 updates tracked since enumeration
✔ NPI 1689013781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35129422
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 35.129422 (OH)
2142 N COVE BLVD, Toledo, OH 43606
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1650 Stewart RdMonroe, MI 48162-4222 · Phone (734) 240-8430 · Fax (734) 240-8495
Location 21 Medical Center DrMiddletown, OH 45005-2584 · Phone (513) 705-4754 · Fax (513) 420-5156
Location 32142 N Cove BlvdToledo, OH 43606 · Phone (419) 291-4000 · Fax (419) 479-6102

Other Identifiers 1

Medicaid0218729OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pramit D. Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Sound Inpatient Physicians-Michigan, PLLC
110 mi
Internal Medicine
1521 GULL RD
Kalamazoo, MI 49048
  • Reassigned Medicare billing, Michigan enrollment
  • 596 clinicians in this Medicare group
NPI 1093967861 (269) 226-7000
Apogee Medical Group, Michigan, P.C.
386 mi
Internal Medicine
850 W BARAGA AVE
Marquette, MI 49855
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Apogee Medical Group Michigan PC
  • 143 clinicians in this Medicare group
NPI 1053655134 (906) 449-3747

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 43606 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

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
5 suppliers28 claims28 services$69.26 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.

ERICA DEVRIES MD
Pediatrics
2142 N COVE BLVD, 5-NORTH PEDIATRICS
TOLEDO, OH 43606
Lucas County (419) 291-4000
PROMEDICA CENTRAL PHYSICIANS LLC
Hospitalist
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 291-4000
LYNDSAY BRENTLINGER CRNA
Nurse Anesthetist, Certified Registered
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 531-8808
NICHOLAS ANTHONY SCOTT MD
Emergency Medicine
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 291-4000
DAVID HAYDEN
Pharmacy Technician
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 291-4000
MUHAMMAD RIZWAN FAISAL M.D.
Internal Medicine
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 291-1111
KAREN CAPUTO NP
Nurse Practitioner
2142 N COVE BLVD
TOLEDO, OH 43606
Lucas County (419) 291-4101
PROMEDICA CONTINUING CARE SERVICES CORP.
Durable Medical Equipment & Medical Supplies
2142 N COVE BLVD, SUITE 100
TOLEDO, OH 43606
Lucas County (419) 291-6840

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 Pramit Patel's NPI number?

The NPI number for Pramit Patel is 1689013781. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Where is Pramit Patel located?

Pramit Patel practices at 2142 N Cove Blvd, Toledo, OH 43606. The listed phone number is (419) 291-4000.

What is Pramit Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Pramit Patel enrolled in Medicare?

Yes. Pramit Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pramit Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pramit Patel reassigns Medicare benefits to 2 organizations: Sound Inpatient Physicians-Michigan, PLLC (Kalamazoo, MI) and Apogee Medical Group, Michigan, P.C. (Marquette, MI). 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 Pramit Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pramit Patel accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Pramit 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 Pramit Patel was last updated on November 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.