DR. PRANAV BABULAL PATEL (M.D.) – Gastroenterology Physician, NPI 1114176419
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
239 GASTROENTEROLOGY in AL
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Provider Addresses for DR. PRANAV BABULAL PATEL (M.D.)
301, Brown Springs Road, Mitylene, Montgomery, Montgomery County, Alabama, 36117, United States
MONTGOMERY, AL 361177005
Phone: (334) 273-4508
Fax: (334) 273-4290
Type: Mailing
East South Boulevard, Clubview Estates, Montgomery, Montgomery County, Alabama, 36116, United States
SUITE 200
MONTGOMERY, AL 361162454
Phone: (334) 613-7070
Fax: (334) 613-7072
Type: Location
10000 W COLONIAL DR STE 289
OCOEE, FL 347613432
Phone: (321) 842-4765
Fax: (321) 842-4767
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $853.
Total Amount is formed as General ($853) + Research ($0) + Ownership ($0) = $853.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($203).
Total Amount
$853
General + Research + Ownership
Payments
27
Total payment records
General Amount
$853
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $203 |
| PENTAX of America, Inc. | $122 |
| Mallinckrodt Hospital Products Inc. | $118 |
| Phathom Pharmaceuticals, Inc. | $102 |
| Olympus America Inc. | $99 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-11-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160727003100 | I | Gastroenterology | AL | TBD |
| I20211102003238 | I | Gastroenterology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 56 | 56 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 40 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 41 | 41 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 38 | 38 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 34 | 23 | $0 |
Insurance plans in this area (ZIP 36117)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | AL | 45378 | Diagnostic examination of large bowel using an endoscope | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| - | FL | |
| Internal Medicine | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Internal Medicine, Critical Care (Intensivists), Internal Medicine | FL | |
| Hand Surgery, Orthopedic Surgery, Sports Medicine | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL |
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