PRANEIL PATEL MD
NPI 1851603005
Radiology - Diagnostic Radiology in Jacksonville, FL
About Praneil Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRANEIL PATEL MD (NPI 1851603005) is an individual diagnostic radiology provider in Jacksonville, Florida, licensed in Florida (ME164565) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains a secondary practice location in Greensboro.
NPPES Registry Identity
Specialties & Licenses 2
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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
Praneil 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.
Areas of Expertise CMS Part B claims 28
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Health Medical Center - Jacksonville
Acute Care Hospitals · Jacksonville, FLBaptist Medical Center Beaches
Acute Care Hospitals · Jacksonville Beach, FLBaptist Medical Center - Nassau
Acute Care Hospitals · Fernandina Beach, FLHca Florida Memorial Hospital
Acute Care Hospitals · Jacksonville, FLHca Florida Orange Park Hospital
Acute Care Hospitals · Orange Park, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32256 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32256
JACKSONVILLE, FL 32256
JACKSONVILLE, FL 32256
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 Praneil Patel's NPI number?
The NPI number for Praneil Patel is 1851603005. It was assigned to this individual provider in the NPPES registry on July 3, 2010.
Where is Praneil Patel located?
Praneil Patel practices at 8375 Dix Ellis Trl Ste 201, Jacksonville, FL 32256. The listed phone number is (904) 236-5884.
What is Praneil Patel's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Praneil Patel enrolled in Medicare?
Yes. Praneil 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.
What insurance does Praneil Patel accept?
Health plans from Blue Cross and Blue Shield of NC, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Praneil 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 Praneil Patel affiliated with any hospitals?
According to CMS data, Praneil Patel is affiliated with Baptist Health Medical Center - Jacksonville, Baptist Medical Center Beaches, Baptist Medical Center - Nassau, Hca Florida Memorial Hospital and Hca Florida Orange Park Hospital.
When was this NPI record last updated?
The NPPES record for Praneil Patel was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.