Pragneshkumar Patel, MD
NPI 1073075842 · Internal Medicine Physician · Flushing, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pragneshkumar Patel, MD is a Internal Medicine Physician provider in Flushing, NY (NPI 1073075842).
Provider details
- NPI number
- 1073075842
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 64966 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
863 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 318 | $73 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 301 | $109 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 156 | $106 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 74 | $159 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 14 | $74 |
Typical Medicare-allowed amounts for these services range $73–$159 (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 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 31 | 30 |
| Atorvastatin Calcium | 28 | 27 |
| Apixabanbrand: Eliquis | 22 | 19 |
| Furosemide | 17 | 17 |
| Azithromycin | 17 | 17 |
| Losartan Potassium | 17 | 17 |
| Metoprolol Tartrate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$67 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 300 20th Ave N Ste G1Nashville, TN 37203-2132Phone: (615) 941-8550
Registry dates
- Enumerated
- 2019-04-02
- Last updated
- 2026-04-08
- Certified
- 2026-04-08
Frequently asked questions
- What is Pragneshkumar Patel's NPI number?
- Pragneshkumar Patel's National Provider Identifier (NPI) is 1073075842, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pragneshkumar Patel's specialty?
- Pragneshkumar Patel is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pragneshkumar Patel located?
- Pragneshkumar Patel's practice location on file with NPPES is 4500 Parsons Blvd, Flushing, NY 11355-2205.
- What is Pragneshkumar Patel's phone number?
- The practice phone number listed in the NPPES registry for Pragneshkumar Patel is (718) 670-5000.
- Does Pragneshkumar Patel accept Medicare?
- Pragneshkumar Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pragneshkumar Patel's NPI active?
- Yes — Pragneshkumar Patel's NPI (1073075842) is active in the NPPES registry as of the last update on 2026-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.