Pragnesh Patel, MD
NPI 1053488866 · Endocrinology, Diabetes & Metabolism Physician · Pittsburg, CA
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pragnesh Patel, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Pittsburg, CA (NPI 1053488866).
Provider details
- NPI number
- 1053488866
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 248013 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
2,045 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 993 | $151 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 419 | $18 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 220 | $38 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 143 | $210 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 101 | $17 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 66 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Semaglutidebrand: Ozempic | 838 | 211 |
| Metformin Hclbrand: Metformin Hcl Er | 644 | 225 |
| Levothyroxine Sodium | 585 | 171 |
| Empagliflozinbrand: Jardiance | 534 | 162 |
| Pioglitazone Hcl | 376 | 119 |
| Metformin Hcl | 374 | 114 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2011-06-13
Frequently asked questions
- What is Pragnesh Patel's NPI number?
- Pragnesh Patel's National Provider Identifier (NPI) is 1053488866, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pragnesh Patel's specialty?
- Pragnesh Patel is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Pragnesh Patel located?
- Pragnesh Patel's practice location on file with NPPES is 2220 Gladstone Dr, Pittsburg, CA 94565-5123.
- What is Pragnesh Patel's phone number?
- The practice phone number listed in the NPPES registry for Pragnesh Patel is (925) 432-3318.
- Does Pragnesh Patel accept Medicare?
- Pragnesh Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pragnesh Patel's NPI active?
- Yes — Pragnesh Patel's NPI (1053488866) is active in the NPPES registry as of the last update on 2011-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.