Prutha Patel, MD
NPI 1043831274 · Hospitalist Physician · Nashville, TN
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prutha Patel, MD is a Hospitalist Physician provider in Nashville, TN (NPI 1043831274).
Provider details
- NPI number
- 1043831274
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 332831 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
106 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 55 | $129 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 30 | $87 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 21 | $162 |
Typical Medicare-allowed amounts for these services range $87–$162 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 29 | 11 |
| Apixabanbrand: Eliquis | 24 | — |
| Metoprolol Tartrate | 17 | — |
| Sertraline Hcl | 15 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (3)
- 1638 Owen DriveFayetteville, NC 28304-3424Phone: (910) 615-5095
- 1218 Walter Reed RdFayetteville, NC 28304-4440Phone: (910) 615-3960
- 33-57 Harrison StJohnson City, NY 13790-2107Phone: (607) 763-6622
Registry dates
- Enumerated
- 2020-04-28
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Frequently asked questions
- What is Prutha Patel's NPI number?
- Prutha Patel's National Provider Identifier (NPI) is 1043831274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prutha Patel's specialty?
- Prutha Patel is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Prutha Patel located?
- Prutha Patel's practice location on file with NPPES is 3601 the Vanderbilt Clinic, Nashville, TN 37232-0001.
- What is Prutha Patel's phone number?
- The practice phone number listed in the NPPES registry for Prutha Patel is (615) 322-5000.
- Does Prutha Patel accept Medicare?
- Prutha Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prutha Patel's NPI active?
- Yes — Prutha Patel's NPI (1043831274) is active in the NPPES registry as of the last update on 2025-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.