Praful Patel, M.D.
NPI 1396760575 · Pulmonary Disease Physician · Santa Rosa, CA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Praful Patel, M.D. is a Pulmonary Disease Physician provider in Santa Rosa, CA (NPI 1396760575).
Provider details
- NPI number
- 1396760575
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME82902 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
19 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
3,101 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 | 437 | $139 |
| Test to Determine Lung Volumes Using Gas Dilution Or Washout94727 | 389 | $51 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 387 | $66 |
| Test to Measure Expiratory Airflow and Volume Changes Before and After Medication Administration94060 | 261 | $45 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 203 | $9 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 203 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 27 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 215 | 45 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 137 | 27 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 128 | 55 |
| Tiotropium Br/Olodaterol Hclbrand: Stiolto Respimat | 102 | 23 |
| Tiotropium Bromidebrand: Spiriva Respimat | 86 | 26 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 74 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$581 across 15 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)
- 4203 Belfort Rd Ste 345Jacksonville, FL 32216-1469Phone: (904) 450-6461Fax: (904) 450-6469
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2024-10-28
- Certified
- 2024-10-28
Frequently asked questions
- What is Praful Patel's NPI number?
- Praful Patel's National Provider Identifier (NPI) is 1396760575, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Praful Patel's specialty?
- Praful Patel is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Praful Patel located?
- Praful Patel's practice location on file with NPPES is 585 W College Ave Ste a, Santa Rosa, CA 95401-5060.
- What is Praful Patel's phone number?
- The practice phone number listed in the NPPES registry for Praful Patel is (707) 547-5450.
- Does Praful Patel accept Medicare?
- Praful Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Praful Patel's NPI active?
- Yes — Praful Patel's NPI (1396760575) is active in the NPPES registry as of the last update on 2024-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.