PRANEIL PATEL MD
NPI 1851603005
Radiology - Diagnostic Radiology in Jacksonville, FL

Active since July 03, 2010PECOS EnrolledAccepts Medicare Assignment
8375 DIX ELLIS TRL STE 201, JACKSONVILLE, FL 32256(904) 236-5884 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2023, Nov 19, 2018, Nov 7, 2018 and 1 more (4 updates tracked since 2018).

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

NPI1851603005
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePRANEIL PATELCredential: MD
Location Address8375 DIX ELLIS TRL STE 201Jacksonville, FL 32256-8241
Mailing AddressPo Box 63112Charlotte, NC 28263-3112 · (336) 274-9617 · Fax (336) 482-2177
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2010
Enumeration DateJuly 3, 2010
Last NPPES UpdateSeptember 6, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
NPI 1851603005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in FL · ME164565 Licensed in NC · 2020-03898 Licensed in PA · MD464041
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 2020-03898 (NC)
8375 DIX ELLIS TRL STE 201, Jacksonville, FL 32256

Secondary Practice Location 1

Location 11331 N Elm St Ste 200Greensboro, NC 27401-6304 · Phone (336) 274-9617 · Fax (336) 482-2177

Other Identifiers 1

Medicaid103502359PA

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.

PECOS PAC ID1052534898
PECOS Enrollment IDI20201102000659
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 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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
733 services705 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
285 services282 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
278 services275 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
270 services268 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
221 services207 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
200 services198 patients

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, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100179
Location3625 University Blvd SJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Hca Florida Orange Park Hospital

Acute Care Hospitals · Orange Park, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100226
Location2001 Kingsley AveOrange Park, FL 32073 · Clay County
Emergency services Birthing friendly

Physician 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.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%597 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%55 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Vascular & Interventional Radiology)
8375 DIX ELLIS TRL STE 201
JACKSONVILLE, FL 32256
Radiology (Diagnostic Radiology)
8375 DIX ELLIS TRL STE 201
JACKSONVILLE, FL 32256
Radiology (Diagnostic Radiology)
8375 DIX ELLIS TRL STE 201
JACKSONVILLE, FL 32256
Physician Assistant
8375 DIX ELLIS TRL STE 201
JACKSONVILLE, FL 32256
Radiology (Diagnostic Radiology)
8375 DIX ELLIS TRL STE 201
JACKSONVILLE, FL 32256
Radiology (Vascular & Interventional Radiology)
8375 DIX ELLIS TRL STE 201
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.