Pranjalkumar Patel, M.D.
NPI 1225233133 · Family Medicine Physician · Tracy, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pranjalkumar Patel, M.D. is a Family Medicine Physician provider in Tracy, CA (NPI 1225233133).
Provider details
- NPI number
- 1225233133
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- A116600 (CA)
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
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
12,121 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 2,615 | $130 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 1,832 | $107 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, First 20 Minutes99457 | 1,695 | $50 |
| 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 | 1,299 | $16 |
| Remote Monitoring of Physiologic Parameters, Initial Supply of Devices With Daily Recordings Or Programmed Alerts Transmission, Each 30 Days99454 | 1,085 | $50 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 249 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 1,886 | 539 |
| Losartan Potassium | 1,063 | 298 |
| Amlodipine Besylate | 958 | 302 |
| Levothyroxine Sodium | 815 | 214 |
| Metformin Hcl | 729 | 227 |
| Gabapentin | 652 | 201 |
| Pantoprazole Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,197 across 104 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
Registry dates
- Enumerated
- 2007-06-19
- Last updated
- 2011-06-02
Frequently asked questions
- What is Pranjalkumar Patel's NPI number?
- Pranjalkumar Patel's National Provider Identifier (NPI) is 1225233133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pranjalkumar Patel's specialty?
- Pranjalkumar Patel is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pranjalkumar Patel located?
- Pranjalkumar Patel's practice location on file with NPPES is 1530 Bessie Ave, Tracy, CA 95376-3080.
- What is Pranjalkumar Patel's phone number?
- The practice phone number listed in the NPPES registry for Pranjalkumar Patel is (209) 836-3967.
- Does Pranjalkumar Patel accept Medicare?
- Pranjalkumar Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pranjalkumar Patel's NPI active?
- Yes — Pranjalkumar Patel's NPI (1225233133) is active in the NPPES registry as of the last update on 2011-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.