DR. PRATIK M PATEL MD
NPI 1891761169
Urology in Gilbert, AZ

Q: What is Pratik Patel's NPI number?

The NPI number for Pratik Patel is 1891761169. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Q: What is Pratik Patel's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Pratik Patel was last updated on June 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment

66.06/100

CMS Quality Rating

2730 S VAL VISTA DR, BLDG 13, SUITE 177, GILBERT, AZ 85295(480) 394-0200(480) 394-0202 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 18, 2020, Mar 29, 2020 (2 updates tracked since 2020).

On this page

About Dr. Pratik M Patel Md NPPES

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

DR. PRATIK M PATEL MD (NPI 1891761169) is an individual urology provider in Gilbert, Arizona, licensed in Arizona (31431) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1891761169

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. PRATIK M PATELCredential: MD

Location Address2730 S VAL VISTA DR, BLDG 13, SUITE 177Gilbert, AZ 85295-1675

Mailing Address2730 S Val Vista Dr, Bldg.#13, Suite 177Gilbert, AZ 85295-1675 · (480) 394-0200 · Fax (480) 394-0202

Phone(480) 394-0200

Fax(480) 394-0202

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateFebruary 27, 2006

Last NPPES UpdateJune 18, 20202 updates tracked since enumeration

NPPES CertifiedJune 18, 2020

✔ NPI 1891761169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in AZ · 31431

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

2730 S VAL VISTA DR, Gilbert, AZ 85295

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Other Identifiers 1

Medicaid776586AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.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. Pratik M 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 ID446235378

PECOS Enrollment IDI20041124000268

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 41

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.

Bcg live intravesical instillation, 1 mg J9030

BCG live intravesical instillation is a procedure where a weakened form of a bacteria is introduced into your bladder. This helps your body's immune system to fight off certain bladder conditions. The procedure is generally safe and effective.

4,800 services15 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.

919 services598 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

859 services548 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

445 services325 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

421 services346 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

324 services275 patients

Injection, tobramycin sulfate, up to 80 mg J3260

Tobramycin sulfate is an antibiotic injection used to treat various bacterial infections. The dosage, up to 80 mg, is determined by your condition and response to treatment. It works by stopping the growth of bacteria.

177 services55 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.

174 services174 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

173 services101 patients

Leuprolide acetate (for depot suspension), 7.5 mg J9217

Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.

171 services22 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

168 services156 patients

Instillation of anti-cancer drug into bladder 51720

This procedure involves introducing a medication into the bladder to help fight off harmful cells. A small tube is gently placed into the area where urine exits the body. Through this tube, the medication is delivered directly into the bladder for maximum effectiveness.

151 services25 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

121 services94 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

103 services31 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

101 services82 patients

Insertion of implant in urethra within prostate gland using an endoscope, each additional implant 52442

This procedure involves placing additional tiny implants in the prostate gland using a special viewing device. It's a common method to address certain health concerns. The process is done carefully to ensure minimal discomfort.

79 services15 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

64 services13 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

52 services52 patients

Biofeedback training for bowel or bladder control, each additional 15 minutes 90913

Biofeedback training aids in enhancing control over bowel or bladder functions. It involves monitoring bodily processes like muscle tension and heart rate, and teaching you how to alter these functions through relaxation or visualization techniques. Each session lasts an additional 15 minutes.

52 services11 patients

Complex measurement of pressure of urine flow in bladder with voiding pressure studies 51728

This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.

49 services49 patients

Study of rectum sensitivity and function 91122

This procedure examines the rectum's sensitivity and functionality. It involves a small, soft balloon inserted into the rectum and inflated to various degrees. The goal is to assess how well your rectum can sense and respond to different volumes. It's a crucial test for diagnosing certain digestive issues.

48 services29 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

36 services28 patients

Injection, garamycin, gentamicin, up to 80 mg J1580

This procedure involves administering an injection of Gentamicin, also known as Garamycin, up to a dose of 80 mg. Gentamicin is an antibiotic used to treat a wide variety of bacterial infections. It works by stopping the growth of bacteria.

35 services11 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

33 services32 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

32 services30 patients

Biofeedback training for bowel or bladder control, initial 15 minutes 90912

Biofeedback training helps manage bowel or bladder control issues. It involves using sensors to monitor specific body functions. The first 15-minute session allows you to understand and control these functions to improve health and performance.

30 services11 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

30 services28 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

28 services20 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

21 services19 patients

Limited ultrasound scan behind abdominal cavity 76775

A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.

20 services20 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

18 services17 patients

Shock wave crushing of kidney stones 50590

Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.

15 services14 patients

Insertion of tube into ureter using an endoscope through bladder area 52005

This procedure involves the use of a thin, flexible tool called an endoscope. It's inserted through the body's natural pathways to reach the area where urine is transported. A small tube is then placed in this area to help with urine flow or to remove blockages.

15 services15 patients

Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm 52224

This procedure involves using a special instrument called an endoscope to remove a small growth in your bladder and urethra. It's a minimally invasive procedure and the growth being treated is less than half a centimeter in size.

15 services13 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

15 services13 patients

Insertion of implant in urethra within prostate gland using an endoscope, 1 implant 52441

This procedure involves placing a small device in the urinary tract using a scope. The device is placed within the prostate gland, which helps manage urinary flow. It's a minimally invasive procedure that aids in improving your comfort and health.

15 services15 patients

Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729

This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.

14 services14 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

This procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.

14 services14 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

14 services14 patients

Ultrasonic guidance during surgery 76998

Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.

13 services13 patients

Partial removal of kidney using an endoscope 50543

This procedure, also known as partial nephrectomy, involves the use of an endoscope to remove a portion of your kidney. It's typically done to treat kidney disease or remove a small tumor. The endoscope, a thin tube with a camera, allows the surgeon to see and operate without making a large incision.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85295 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

66.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

48.25

Promoting Interoperability

100

Improvement Activities

Cost

63.64

Reported Quality Measures

Advance Care Plan

99%832 patients4/55-star benchmark: 100%

e-Prescribing

99%2,666 patients4/55-star benchmark: 100%

Falls: Plan of Care

98%47 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

100%840 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

100%564 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%3,948 patients5/55-star benchmark: 100%

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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

2 suppliers11 claims480 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

2 suppliers97 claims12,840 services$1.53 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

2 suppliers19 claims2,130 services$6.13 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

4 suppliers24 claims54 services$8.08 avg. paid by Medicare

Ostomy belt, each A4367

DME-Orthotic Devices · category DF010N

2 suppliers12 claims28 services$6.86 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

2 suppliers16 claims540 services$4.93 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

M. KATHLEEN MCBRIDE MSW

Social Worker (Clinical)

2730 S VAL VISTA DR, SUITE 135
GILBERT, AZ 85295

Maricopa County (480) 338-4095

DR. KEN ERNEST ROOT JR. D.O.

Psychiatry & Neurology (Neurology)

2730 S VAL VISTA DR, SUITE # 146
GILBERT, AZ 85295

Maricopa County (480) 926-0644

MS. NICOLE C FALLACARO PA

Physician Assistant

2730 S VAL VISTA DR
GILBERT, AZ 85295

Maricopa County (480) 324-0300

LAURA M FRENCH PNP

Nurse Practitioner (Pediatrics)

2730 S VAL VISTA DR, SUITE 161
GILBERT, AZ 85295

Maricopa County (480) 857-6316

THOMAS J DAVIS MD

Family Medicine

2730 S VAL VISTA DR, SUITE 152
GILBERT, AZ 85295

Maricopa County (480) 222-7664

GILBERT NEUROLOGY,LLC

Psychiatry & Neurology (Neurology)

2730 S VAL VISTA DR, SUITE 146
GILBERT, AZ 85295

Maricopa County (480) 926-0644

DR. SUBBARAO V CHERUKURI MD

Urology

2730 S VAL VISTA DR, BLDG.#13, SUITE 177
GILBERT, AZ 85295

Maricopa County (480) 394-0200

DR. LIOR BERGER DMD

Dentist (Prosthodontics)

2730 S VAL VISTA DR, BUILDING #11, SUITE #164
GILBERT, AZ 85295

Maricopa County (480) 633-9977

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 Pratik Patel's NPI number?

The NPI number for Pratik Patel is 1891761169. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Pratik Patel located?

Pratik Patel practices at 2730 S Val Vista Dr Bldg 13, Suite 177, Gilbert, AZ 85295. The listed phone number is (480) 394-0200.

What is Pratik Patel's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Pratik Patel enrolled in Medicare?

Yes. Pratik 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 Pratik Patel accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Pratik 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 Pratik Patel was last updated on June 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.