PRAVIN PATEL MD NPI 1760598429
Internal Medicine - Gastroenterology in Shawnee, KS

About PRAVIN PATEL MD

Pravin Patel is an internist established in Shawnee, Kansas and his medical specialization is Internal Medicine with a focus in gastroenterology . The NPI number of Pravin Patel is 1760598429 and was assigned on August 2006. The practitioner's primary taxonomy code is 207RG0100X with license number 0423178 (KS). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1760598429
Provider Name PRAVIN PATEL MD
Location Address7255 RENNER RD SHAWNEE, KS 66217
Location Phone(913) 962-6600
Mailing Address5701 STATE AVE STE 100 KANSAS CITY, KS 66102
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date08-22-2006
Last Update Date12-20-2016

An internist like Pravin Patel Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc..

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 39.8, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207RG0100X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGastroenterology
License No.0423178
License StateKS
Taxonomy DescriptionAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

PRAVIN PATEL MD
7255 RENNER RD
SHAWNEE, KS
ZIP 66217
Phone: (913) 962-6600
Fax: (913) 962-1026

Get Directions


Mailing Address

PRAVIN PATEL MD
5701 STATE AVE
STE 100
KANSAS CITY, KS
ZIP 66102
Phone: (913) 962-6600
Fax: (913) 962-1026


Location Map

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 0
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 74
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 20
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 70.5
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 39.8
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 109Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • 80Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43235)
  • 63Diagnostic examination of large bowel using an endoscope (HCPCS:45378)
  • 35Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)
  • 34Biopsy of large bowel using an endoscope (HCPCS:45380)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
B14384MEDICARE UPIN (02)KS
H951336MEDICARE ID-TYPE UNSPECIFIED (04)KS
100117620BMEDICAID (05)KS

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760598429
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271201091644
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 0 + 9 + 1 + 6 + 4 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1760598429 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831205533 LORA UTECH ARNP
Individual
Nurse Practitioner7255 RENNER RD
SHAWNEE, KS 66217
(913) 962-6600
1285790303MS. NANCY E. LANG MSW, LCSW, LSCSW
Individual
Social Worker (Clinical)7255 RENNER RD
SHAWNEE, KS 66217
(913) 788-9777
1942325816 AILEEN PAULA UTLEY PH.D.
Individual
Psychologist (Counseling)7255 RENNER RD
SHAWNEE, KS 66217
(913) 596-3297
1952797755SIGNATURE MEDICAL GROUP OF KC, PA
Organization
Durable Medical Equipment & Medical Supplies7255 RENNER RD
SHAWNEE MISSION, KS 66217
(913) 788-7111
1710375175KC INFECTIOUS DISEASE CONSULTANTS LLC
Organization
Internal Medicine (Infectious Disease)7255 RENNER RD
SHAWNEE, KS 66217
(913) 631-0405
1952417644 SAMIR DESAI MD
Individual
Internal Medicine (Infectious Disease)7255 RENNER RD
SHAWNEE, KS 66217
(913) 631-0405
1457429524DR. STEVEN D RETTINGER MD
Individual
Family Medicine7255 RENNER RD
SHAWNEE, KS 66217
(913) 399-4400

Frequently Asked Questions

What is Pravin Patel MD NPI number?

The NPI number assigned to Pravin Patel MD is 1760598429, registered as an "individual" on August 22, 2006

Where is Pravin Patel MD located?

The provider is located at 7255 Renner Rd Shawnee, Ks 66217 and the phone number is (913) 962-6600

Which is Pravin Patel MD specialty?

The provider's speciality is Internal Medicine with a focus in Gastroenterology

What insurance does Pravin Patel MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

What are some of the services provided by Pravin Patel MD?

The most common procedures or services performed by this practitioner are: Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope, Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope, Diagnostic examination of large bowel using an endoscope, Removal of polyps or growths of large bowel using an endoscope and Biopsy of large bowel using an endoscope.

How do I update my NPI information?

The NPI record of Pravin Patel MD was last updated on August 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]