PRAVINKUMAR BAHECHARDAS PATEL M.D.
NPI 1962631242
Internal Medicine in West Reading, PA
About Pravinkumar Bahechardas Patel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAVINKUMAR BAHECHARDAS PATEL M.D. (NPI 1962631242) is an individual internal medicine provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD446897) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Pravinkumar Bahechardas Patel M.d. 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.
Medicare Billing Reassignments
8Medicare enrollment records show Pravinkumar Patel reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Reading, PA 19611
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
Pottstown, PA 19465
- Reassigned Medicare billing, Pennsylvania enrollment
- 474 clinicians in this Medicare group
Limerick, PA 19468
- Reassigned Medicare billing, Pennsylvania enrollment
- 529 clinicians in this Medicare group
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 103 clinicians in this Medicare group
Morristown, NJ 07960
- Reassigned Medicare billing, New Jersey enrollment
- 1,699 clinicians in this Medicare group
Hanover, MD 21076
- Reassigned Medicare billing, Pennsylvania enrollment
- 41 clinicians in this Medicare group
Du Bois, PA 15801
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Apogee Medical Group Of Pennsylvania PC
- 383 clinicians in this Medicare group
Erie, PA 16505
- Reassigned Medicare billing, Pennsylvania enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Morristown Medical Center
Acute Care Hospitals · Morristown, NJHackettstown Medical Center
Acute Care Hospitals · Hackettstown, NJLehigh Valley Hospital
Acute Care Hospitals · Allentown, PALehigh Valley Hospital - Pocono
Acute Care Hospitals · East Stroudsburg, PALehigh Valley Hospital - Dickson City
Acute Care Hospitals · Dickson City, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19611 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
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WEST READING, PA 19611
WEST READING, PA 19611
WEST READING, PA 19611
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 Pravinkumar Patel's NPI number?
The NPI number for Pravinkumar Patel is 1962631242. It was assigned to this individual provider in the NPPES registry on July 8, 2009.
Where is Pravinkumar Patel located?
Pravinkumar Patel practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-5455.
What is Pravinkumar Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Pravinkumar Patel enrolled in Medicare?
Yes. Pravinkumar 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.
Which organizations bill Medicare for Pravinkumar Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pravinkumar Patel reassigns Medicare benefits to 8 organizations: Tower Health Medical Group (West Reading, PA), Pottstown Clinic Company LLC (Pottstown, PA), Phoenixville Clinic Company LLC (Limerick, PA), Pennsylvania Hm Associates PC (East Stroudsburg, PA), Practice Associates Medical Group (Morristown, NJ) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pravinkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pravinkumar Patel accept?
Health plans from Oscar Health list Pravinkumar 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 Pravinkumar Patel affiliated with any hospitals?
According to CMS data, Pravinkumar Patel is affiliated with Morristown Medical Center, Hackettstown Medical Center, Lehigh Valley Hospital, Lehigh Valley Hospital - Pocono and Lehigh Valley Hospital - Dickson City.
When was this NPI record last updated?
The NPPES record for Pravinkumar Patel was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pravinkumar Bahechardas Patel, M.D. · NPI 1962631242
Internal Medicine physician in West Reading, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 8, 2009.
## Identity
- **NPI:** 1962631242 (Entity type: Individual)
- **Enumerated:** July 8, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD446897 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 S 5TH AVE, West Reading, PA 19611-2143
- **Phone:** (484) 628-5455
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Tower Health Medical Group (NPI 1063589273, West Reading, PA); Pottstown Clinic Company LLC (NPI 1649341934, Pottstown, PA); Phoenixville Clinic Company LLC (NPI 1790746345, Limerick, PA); Pennsylvania Hm Associates PC (NPI 1841637865, East Stroudsburg, PA); Practice Associates Medical Group (NPI 1427016385, Morristown, NJ); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** July 27, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1962631242) · Data from the CMS NPPES public registry.