Payal Patel, M.D.
NPI 1194175034 · Family Medicine Physician · Pawtucket, RI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Payal Patel, M.D. is a Family Medicine Physician provider in Pawtucket, RI (NPI 1194175034).
Provider details
- NPI number
- 1194175034
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- LP03789 (RI)
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
9 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
69 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 25 | $93 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 23 | $133 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 21 | $117 |
Typical Medicare-allowed amounts for these services range $93–$133 (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 · 42 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 123 | 37 |
| Nifedipinebrand: Nifedipine Er | 62 | 19 |
| Metformin Hcl | 54 | 20 |
| Tamsulosin Hcl | 42 | — |
| Empagliflozinbrand: Jardiance | 40 | — |
| Losartan Potassium | 40 | 15 |
| Semaglutide |
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-06-21
- Last updated
- 2016-07-01
Frequently asked questions
- What is Payal Patel's NPI number?
- Payal Patel's National Provider Identifier (NPI) is 1194175034, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Payal Patel's specialty?
- Payal Patel is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Payal Patel located?
- Payal Patel's practice location on file with NPPES is 111 Brewster St, Pawtucket, RI 02860-4474.
- What is Payal Patel's phone number?
- The practice phone number listed in the NPPES registry for Payal Patel is (401) 729-2769.
- Does Payal Patel accept Medicare?
- Payal Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Payal Patel's NPI active?
- Yes — Payal Patel's NPI (1194175034) is active in the NPPES registry as of the last update on 2016-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.