Pravinkumar Patel, M.D.
NPI 1962631242 · Internal Medicine Physician · West Reading, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pravinkumar Patel, M.D. is a Internal Medicine Physician provider in West Reading, PA (NPI 1962631242).
Provider details
- NPI number
- 1962631242
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD446897 (PA)
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
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,541 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 35 Minutes99232 | 900 | $77 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 177 | $110 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 172 | $112 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 138 | $164 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 83 | $132 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 46 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 32 | 30 |
| Cefuroxime Axetilbrand: Cefuroxime | 30 | 30 |
| Pantoprazole Sodium | 30 | 29 |
| Metoprolol Succinate | 27 | 21 |
| Apixabanbrand: Eliquis | 19 | 15 |
| Metoprolol Tartrate | 17 | 12 |
| Amlodipine Besylate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$184 across 8 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 (2)
- 140 Nutt RdPhoenixville, PA 19460-3906Phone: (484) 628-5455
- 1600 E High StPottstown, PA 19464-5008Phone: (610) 327-7000
Registry dates
- Enumerated
- 2009-07-08
- Last updated
- 2022-07-27
- Certified
- 2022-07-27
Frequently asked questions
- What is Pravinkumar Patel's NPI number?
- Pravinkumar Patel's National Provider Identifier (NPI) is 1962631242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pravinkumar Patel's specialty?
- Pravinkumar Patel is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pravinkumar Patel located?
- Pravinkumar Patel's practice location on file with NPPES is 420 S 5th Ave, West Reading, PA 19611-2143.
- What is Pravinkumar Patel's phone number?
- The practice phone number listed in the NPPES registry for Pravinkumar Patel is (484) 628-5455.
- Does Pravinkumar Patel accept Medicare?
- Pravinkumar Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pravinkumar Patel's NPI active?
- Yes — Pravinkumar Patel's NPI (1962631242) is active in the NPPES registry as of the last update on 2022-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.