PRAGNESH H PATEL MD
NPI 1912973033
Allergy & Immunology in Altamonte Springs, FL

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
661 E ALTAMONTE DR, STE 315, ALTAMONTE SPRINGS, FL 32701(407) 339-3002(407) 260-5039 Get Directions Write a Review

NPPES record last updated: August 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pragnesh H Patel Md NPPES

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

PRAGNESH H PATEL MD (NPI 1912973033) is an individual allergy & immunology provider in Altamonte Springs, Florida, licensed in Florida (70958) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1912973033
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NamePRAGNESH H PATELCredential: MD
Location Address661 E ALTAMONTE DR, STE 315Altamonte Springs, FL 32701-5105
Mailing Address661 E Altamonte Dr, Ste 315Altamonte Springs, FL 32701-5105 · (407) 339-3002 · Fax (407) 260-5039
Fax(407) 260-5039
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateFebruary 28, 2006
Last NPPES UpdateAugust 28, 2014
NPI 1912973033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in FL · 70958
Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X · License 70958 (FL)
661 E ALTAMONTE DR, Altamonte Springs, FL 32701

Other Identifiers 3

Medicaid251420600FL
Medicare UPINF78613FL
Medicare PIN32256

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

Pragnesh H 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 ID4688790694
PECOS Enrollment IDI20100928000462
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 14

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.

Injection, omalizumab, 5 mg J2357
Omalizumab is a medication given via injection. It's used to treat severe allergic asthma and chronic hives when other treatments fail. The 5mg dose is determined by your doctor based on your weight and condition.
11,771 services19 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
3,670 services67 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
3,591 services127 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
1,234 services125 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
1,016 services48 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.
343 services206 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Orlando Health-Health Central Hospital

Acute Care Hospitals · Ocoee, FL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number100030
Location10000 W Colonial DrOcoee, FL 34761 · Orange County
Emergency services

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
0%105 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
100%25 patients5/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%3,069 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%1,789 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
100%22 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 429 patients
0%429 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 5

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers17 claims68 services$18.34 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$4.95 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
4 suppliers28 claims6,880 services$9.52 avg. paid by Medicare
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg J1569
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier12 claims576 services$35.66 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
5 suppliers36 claims155 services$2.36 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.

Surgery
661 E ALTAMONTE DR, SUITE 120
ALTAMONTE SPRINGS, FL 32701
Ophthalmology
661 E ALTAMONTE DR, SUITE 223
ALTAMONTE SPRINGS, FL 32701
Surgery
661 E ALTAMONTE DR, SUITE 323
ALTAMONTE SPRINGS, FL 32701
Physical Medicine & Rehabilitation (Pain Medicine)
661 E ALTAMONTE DR, SUITE 231
ALTAMONTE SPRINGS, FL 32701
Allergy & Immunology (Allergy)
661 E ALTAMONTE DR, SUITE 315
ALTAMONTE SPRINGS, FL 32701
Allergy & Immunology
661 E ALTAMONTE DR, SUITE 315
ALTAMONTE SPRINGS, FL 32701
Surgery
661 E ALTAMONTE DR, SUITE 323
ALTAMONTE SPRINGS, FL 32701
Surgery
661 E ALTAMONTE DR, SUITE 216
ALTAMONTE SPRINGS, FL 32701

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 Pragnesh Patel's NPI number?

The NPI number for Pragnesh Patel is 1912973033. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Pragnesh Patel located?

Pragnesh Patel practices at 661 E Altamonte Dr Ste 315, Altamonte Springs, FL 32701. The listed phone number is (407) 339-3002.

What is Pragnesh Patel's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Pragnesh Patel enrolled in Medicare?

Yes. Pragnesh 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 Pragnesh Patel accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 6 other insurers list Pragnesh 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 Pragnesh Patel affiliated with any hospitals?

According to CMS data, Pragnesh Patel is affiliated with Adventhealth Orlando and Orlando Health-Health Central Hospital.

When was this NPI record last updated?

The NPPES record for Pragnesh Patel was last updated on August 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.