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PRANESH N PATEL MD
NPI 1730569294
Psychiatry & Neurology - Psychiatry in Media, PA

Active since May 31, 2015PECOS EnrolledAccepts Medicare Assignment
1055 E BALTIMORE PIKE STE AND303, MEDIA, PA 19063(610) 892-3800 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2023, Oct 11, 2021, Apr 26, 2019 and 1 more (4 updates tracked since 2017).

About Pranesh N Patel Md NPPES

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

PRANESH N PATEL MD (NPI 1730569294) is an individual psychiatry provider in Media, Pennsylvania, licensed in Pennsylvania (MD482461) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Exton, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1730569294
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NamePRANESH N PATELCredential: MD
Location Address1055 E BALTIMORE PIKE STE AND303Media, PA 19063-5173
Mailing Address1055 E Baltimore Pike Ste And303Media, PA 19063-5173 · (610) 892-3800
Phone(610) 892-3800
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 31, 2015
Last NPPES UpdateNovember 28, 20234 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
✔ NPI 1730569294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD482461
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1055 E BALTIMORE PIKE STE AND303, Media, PA 19063
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Secondary Practice Location 1

Location 1728 Springdale DrExton, PA 19341-2941 · Phone (610) 344-9600

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pranesh N 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 ID1658728431
PECOS Enrollment IDI20231116000508
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.

Areas of Expertise CMS Part B claims 4

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
165 services43 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.
150 services41 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19063 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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 Pranesh Patel's NPI number?

The NPI number for Pranesh Patel is 1730569294. It was assigned to this individual provider in the NPPES registry on May 31, 2015.

Where is Pranesh Patel located?

Pranesh Patel practices at 1055 E Baltimore Pike Ste And303, Media, PA 19063. The listed phone number is (610) 892-3800.

What is Pranesh Patel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Pranesh Patel enrolled in Medicare?

Yes. Pranesh 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.

When was this NPI record last updated?

The NPPES record for Pranesh Patel was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.