DR. PULIN PRAVIN PATEL D.O.
NPI 1710950951
Allergy & Immunology in Mount Clemens, MI

Q: What is Pulin Patel's NPI number?

The NPI number for Pulin Patel is 1710950951. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Q: What is Pulin Patel's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Q: When was this NPI record last updated?

The NPPES record for Pulin Patel was last updated on September 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment

64.19/100

CMS Quality Rating

1030 HARRINGTON ST STE 301, MOUNT CLEMENS, MI 48043(586) 961-6060 Get Directions Write a Review

NPPES record last updated: September 10, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2018, Sep 9, 2018, Jun 12, 2017 (3 updates tracked since 2017).

On this page

About Dr. Pulin Pravin Patel D.o. NPPES

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

DR. PULIN PRAVIN PATEL D.O. (NPI 1710950951) is an individual allergy & immunology provider in Mount Clemens, Michigan, licensed in Michigan (5101015017) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and maintains a secondary practice location in Mount Clemens.

NPPES Registry Identity

NPI1710950951

Entity TypeIndividualMale

Primary Taxonomy207K00000X

Provider Legal NameDR. PULIN PRAVIN PATELCredential: D.O.

Location Address1030 HARRINGTON ST STE 301Mount Clemens, MI 48043

Mailing AddressPo Box 665Birmingham, MI 48012-0665 · (586) 961-6060 · Fax (586) 961-6061

Phone(586) 961-6060

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateFebruary 8, 2006

Last NPPES UpdateSeptember 10, 20183 updates tracked since enumeration

✔ NPI 1710950951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

License✔ Licensed in MI · 5101015017

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 5101015017 (MI)

1030 HARRINGTON ST STE 301, Mount Clemens, MI 48043

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Secondary Practice Location 1

Location 11030 Harrington St, SUITE #103Mount Clemens, MI 48043-2967 · Phone (586) 493-3833 · Fax (586) 493-3828

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Pulin Pravin Patel D.o. 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 ID7719993385

PECOS Enrollment IDI20060307000042

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

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

Allergy And Asthma Physicians Of Commerce Township

Same address

Allergy & Immunology

1030 HARRINGTON ST STE 301
Mount Clemens, MI 48043

Reassigned Medicare billing, Michigan enrollment
2 clinicians in this Medicare group

NPI 1467656009 (586) 961-6060

Mid Michigan Ear Nose And Throat PC

82 mi

Otolaryngology

1500 ABBOT RD, SUITE 400
East Lansing, MI 48823

Reassigned Medicare billing, Michigan enrollment
26 clinicians in this Medicare group

NPI 1326133398 (517) 332-0100

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 11

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.

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

4,821 services122 patients

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

4,312 services84 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

2,584 services130 patients

Test for allergy using allergenic extract injected into skin 95024

An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.

1,466 services83 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

460 services287 patients

Test to measure the level of nitric oxide gas 95012

A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.

414 services268 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

298 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

277 services193 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

181 services127 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

90 services90 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.

26 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230029

Location44405 Woodward AvePontiac, MI 48341 · Oakland County

Emergency services Birthing friendly

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230047

Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County

Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230227

Location1000 Harrington StMount Clemens, MI 48043 · Macomb County

Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland County

Emergency services Birthing friendly

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.

64.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

89.73

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

4 suppliers38 claims102 services$17.67 avg. paid by Medicare

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

1 supplier13 claims13 services$35.74 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers32 claims32 services$4.45 avg. paid by Medicare

Injection, immune globulin (hizentra), 100 mg J1559

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier21 claims6,600 services$9.48 avg. paid by Medicare

Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg J1569

Treatment-Injections and Infusions (nononcologic) · category RI008N

2 suppliers34 claims3,730 services$35.70 avg. paid by Medicare

Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin J1575

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier13 claims5,200 services$12.28 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 2

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

ALLERGY AND ASTHMA PHYSICIANS OF COMMERCE TOWNSHIP

Allergy & Immunology

1030 HARRINGTON ST STE 301
MOUNT CLEMENS, MI 48043

Macomb County (586) 961-6060

SYDNEY SCHUENEMAN MS, PA-C

Physician Assistant

1030 HARRINGTON ST STE 301
MOUNT CLEMENS, MI 48043

Macomb County (586) 961-6060

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 Pulin Patel's NPI number?

The NPI number for Pulin Patel is 1710950951. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Pulin Patel located?

Pulin Patel practices at 1030 Harrington St Ste 301, Mount Clemens, MI 48043. The listed phone number is (586) 961-6060.

What is Pulin Patel's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Pulin Patel enrolled in Medicare?

Yes. Pulin 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 Pulin Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pulin Patel reassigns Medicare benefits to 2 organizations: Allergy And Asthma Physicians Of Commerce Township (Mount Clemens, MI) and Mid Michigan Ear Nose And Throat PC (East Lansing, 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 Pulin Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pulin Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Pulin 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 Pulin Patel affiliated with any hospitals?

According to CMS data, Pulin Patel is affiliated with Trinity Health Oakland Hospital, Henry Ford Macomb Hospital, Beaumont Hospital Royal Oak, Mclaren Macomb and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Pulin Patel was last updated on September 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.