PRAFUL PATEL MD
NPI 1720048457
Internal Medicine - Clinical Cardiac Electrophysiology in Wilmington, NC

Active since March 25, 2006PECOS Enrolled
1415 PHYSICIANS DR, WILMINGTON, NC 28401(910) 662-9500 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 25, 2020, Aug 31, 2020, Jul 16, 2020 and 36 more (39 updates tracked since 2016).

About Praful Patel Md NPPES

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

PRAFUL PATEL MD (NPI 1720048457) is an individual clinical cardiac electrophysiology provider in Wilmington, North Carolina, licensed in North Carolina (39056) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1720048457
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NamePRAFUL PATELCredential: MD
Location Address1415 PHYSICIANS DRWilmington, NC 28401-7338
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Enumeration DateMarch 25, 2006
Last NPPES UpdateSeptember 25, 202039 updates tracked since enumeration
✔ NPI 1720048457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License✔ Licensed in NC · 39056
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
1415 PHYSICIANS DR, Wilmington, NC 28401

Secondary Practice Locations 4

Location 1800 Jefferson St, Ste 112Whiteville, NC 28472-3710 · Phone (910) 642-8164
Location 25145 S College RdWilmington, NC 28412-2207 · Phone (910) 792-1144
Location 31960 S 16th StWilmington, NC 28401-6676 · Phone (910) 343-9991
Location 47420 Market StWilmington, NC 28411-9453 · Phone (910) 686-2525

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Nurse Anesthetist, Certified Registered
240 HOSPITAL DR NE
Bolivia, NC 28422
  • Reassigned Medicare billing, North Carolina enrollment
  • 639 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
8201 HEALTHCARE LOOP
Charlotte, NC 28215
  • Reassigned Medicare billing, North Carolina enrollment
  • 703 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Physician Assistant
1415 PHYSICIANS DR
WILMINGTON, NC 28401
Physician Assistant
1415 PHYSICIANS DR
WILMINGTON, NC 28401
Nurse Practitioner
1415 PHYSICIANS DR
WILMINGTON, NC 28401
Internal Medicine (Cardiovascular Disease)
1415 PHYSICIANS DR
WILMINGTON, NC 28401
Nurse Practitioner
1415 PHYSICIANS DR
WILMINGTON, NC 28401
Physician Assistant
1415 PHYSICIANS DR
WILMINGTON, NC 28401
Internal Medicine (Cardiovascular Disease)
1415 PHYSICIANS DR
WILMINGTON, NC 28401
Pharmacist (Cardiology)
1415 PHYSICIANS DR
WILMINGTON, NC 28401

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 Praful Patel's NPI number?

The NPI number for Praful Patel is 1720048457. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Where is Praful Patel located?

Praful Patel practices at 1415 Physicians Dr, Wilmington, NC 28401. The listed phone number is (910) 662-9500.

What is Praful Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Praful Patel enrolled in Medicare?

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

Which organizations bill Medicare for Praful Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Praful Patel reassigns Medicare benefits to 2 organizations: Brunswick Community Hospital, LLC (Bolivia, NC) and Novant Health Mint Hill Medical Center, LLC (Charlotte, NC). 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 Praful Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Praful Patel was last updated on September 25, 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.