DR. PRAVIN I PATEL MD
NPI 1861424285
Internal Medicine in Fairmont, WV

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
1322 LOCUST AVE, FAIRMONT, WV 26554(304) 366-0700(304) 366-9529 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Pravin I Patel Md NPPES

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

DR. PRAVIN I PATEL MD (NPI 1861424285) is an individual internal medicine provider in Fairmont, West Virginia, licensed in West Virginia (10239) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1968).

NPPES Registry Identity

NPI1861424285
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRAVIN I PATELCredential: MD
Location Address1322 LOCUST AVEFairmont, WV 26554
Mailing Address1322 Locust Ave, Po Box 1112Fairmont, WV 26554 · (304) 366-0700 · Fax (304) 366-9529
Fax(304) 366-9529
Sole ProprietorNo
Medical School CMSOtherGraduated 1968
Enumeration DateJuly 7, 2006
Last NPPES UpdateAugust 11, 2011
NPI 1861424285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WV · 10239
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1322 LOCUST AVE, Fairmont, WV 26554

Other Identifiers 10

Other0004420446WV · Aetna
Other000058954WV · Mt State Bc/bs
Medicare PINPA0647261WV
OtherFQ10239WV · Health Plan
OtherE19547WV · Wv Worker's Comp
Medicaid0082810000WV
Other110087720WV · Rr Medicare
Other0573008WV · Home Plan Peia And Chips
Medicare UPINE19547WV
Other505819WV · National Capital Ppo

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

Dr. Pravin I 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 ID1951336825
PECOS Enrollment IDI20050929000076
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 3

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.

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
23 services20 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
18 services18 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26554 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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
1322 LOCUST AVE
FAIRMONT, WV 26554
Pediatrics
1322 LOCUST AVE
FAIRMONT, WV 26554
Internal Medicine
1322 LOCUST AVE
FAIRMONT, WV 26554
Pediatrics
1322 LOCUST AVE
FAIRMONT, WV 26554
Family Medicine
1322 LOCUST AVE
FAIRMONT, WV 26554
Radiology (Diagnostic Radiology)
1322 LOCUST AVE
FAIRMONT, WV 26554
Optometrist
1322 LOCUST AVE
FAIRMONT, WV 26554
Clinic/Center (Radiology)
1322 LOCUST AVE
FAIRMONT, WV 26554

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 Pravin Patel's NPI number?

The NPI number for Pravin Patel is 1861424285. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Pravin Patel located?

Pravin Patel practices at 1322 Locust Ave, Fairmont, WV 26554. The listed phone number is (304) 366-0700.

What is Pravin Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pravin Patel enrolled in Medicare?

Yes. Pravin 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 Pravin Patel accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Pravin 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.

When was this NPI record last updated?

The NPPES record for Pravin Patel was last updated on August 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.