Prerakkumar Patel, MD
NPI 1225410152 · Hospitalist Physician · Atlantic City, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prerakkumar Patel, MD is a Hospitalist Physician provider in Atlantic City, NJ (NPI 1225410152).
Provider details
- NPI number
- 1225410152
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MT209754 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 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
2,026 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 50 Minutes99233 | 986 | $122 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 572 | $81 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 291 | $118 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 177 | $178 |
Typical Medicare-allowed amounts for these services range $81–$178 (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 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cefuroxime Axetilbrand: Cefuroxime | 19 | 19 |
| Metoprolol Succinate | 19 | 13 |
| Prednisone | 18 | 18 |
| Amlodipine Besylate | 18 | 17 |
| Furosemide | 18 | 18 |
| Pantoprazole Sodium | 16 | 16 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$31 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
Registry dates
- Enumerated
- 2015-06-27
- Last updated
- 2018-10-01
Frequently asked questions
- What is Prerakkumar Patel's NPI number?
- Prerakkumar Patel's National Provider Identifier (NPI) is 1225410152, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prerakkumar Patel's specialty?
- Prerakkumar Patel is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Prerakkumar Patel located?
- Prerakkumar Patel's practice location on file with NPPES is 1925 Pacific Ave, Atlantic City, NJ 08401-6713.
- What is Prerakkumar Patel's phone number?
- The practice phone number listed in the NPPES registry for Prerakkumar Patel is (609) 441-8146.
- Does Prerakkumar Patel accept Medicare?
- Prerakkumar Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prerakkumar Patel's NPI active?
- Yes — Prerakkumar Patel's NPI (1225410152) is active in the NPPES registry as of the last update on 2018-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.