Pratik Patel, M.D.
NPI 1952321077 · Pulmonary Disease Physician · Newark, NJ
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pratik Patel, M.D. is a Pulmonary Disease Physician provider in Newark, NJ (NPI 1952321077).
Provider details
- NPI number
- 1952321077
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA07973300 (NJ)
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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
292 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 167 | $215 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 62 | $78 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 26 | $68 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 25 | $169 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 12 | $103 |
Typical Medicare-allowed amounts for these services range $68–$215 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 240 | 76 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 84 | 18 |
| Tiotropium Bromidebrand: Spiriva Respimat | 43 | 14 |
| Fluticasone Propion/Salmeterolbrand: Fluticasone-Salmeterol | 37 | 14 |
| Tiotropium Br/Olodaterol Hclbrand: Stiolto Respimat | 32 | 11 |
| Fluticasone Propionate | 30 | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,428 across 119 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
- 2006-07-20
- Last updated
- 2022-11-17
- Certified
- 2022-09-14
Frequently asked questions
- What is Pratik Patel's NPI number?
- Pratik Patel's National Provider Identifier (NPI) is 1952321077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pratik Patel's specialty?
- Pratik Patel is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Pratik Patel located?
- Pratik Patel's practice location on file with NPPES is 201 Lyons Ave # L-4, Newark, NJ 07112-2027.
- What is Pratik Patel's phone number?
- The practice phone number listed in the NPPES registry for Pratik Patel is (973) 926-4430.
- Does Pratik Patel accept Medicare?
- Pratik Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pratik Patel's NPI active?
- Yes — Pratik Patel's NPI (1952321077) is active in the NPPES registry as of the last update on 2022-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.