Premalkumar Patwa, M.D.
NPI 1538320601 · Psychiatry Physician · Leesburg, VA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premalkumar Patwa, M.D. is a Psychiatry Physician provider in Leesburg, VA (NPI 1538320601).
Provider details
- NPI number
- 1538320601
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 35.094543 (OH)
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 tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
284 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 205 | $119 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 36 | $84 |
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 28 | $172 |
| Psychotherapy With Evaluation and Management Visit, 30 Minutes90833 | 15 | $70 |
Typical Medicare-allowed amounts for these services range $70–$172 (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 · 36 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Bupropion Hclbrand: Bupropion Xl | 104 | 20 |
| Fluoxetine Hcl | 98 | 12 |
| Duloxetine Hcl | 93 | 19 |
| Aripiprazole | 73 | 15 |
| Escitalopram Oxalate | 73 | 15 |
| Buspirone Hcl | 69 | 18 |
| Venlafaxine Hcl |
Practice location
Mailing address
Additional practice locations (1)
- 2801 C CtAshtabula, OH 44004-4577Phone: (440) 998-4210Fax: (440) 998-6489
Registry dates
- Enumerated
- 2008-06-21
- Last updated
- 2022-10-05
- Certified
- 2022-10-05
Frequently asked questions
- What is Premalkumar Patwa's NPI number?
- Premalkumar Patwa's National Provider Identifier (NPI) is 1538320601, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Premalkumar Patwa's specialty?
- Premalkumar Patwa is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Premalkumar Patwa located?
- Premalkumar Patwa's practice location on file with NPPES is 19 Fort Evans Rd Ne Ste C, Leesburg, VA 20176-4487.
- What is Premalkumar Patwa's phone number?
- The practice phone number listed in the NPPES registry for Premalkumar Patwa is (703) 737-2110.
- Does Premalkumar Patwa accept Medicare?
- Premalkumar Patwa is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Premalkumar Patwa's NPI active?
- Yes — Premalkumar Patwa's NPI (1538320601) is active in the NPPES registry as of the last update on 2022-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.