PRIYA PATEL (PA-C) – Physician Assistant, NPI 1659019453

PRIYA PATEL (PA-C) is a healthcare provider. based in Maumelle, Arkansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA19568 (TX). The NPI Number for PRIYA PATEL (PA-C) is 1659019453

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
PRIYA PATEL (PA-C)
NPI
1659019453
Phone
(903) 908-2432
Address
317 CORONDELET LN
Enumeration Date
23 May 2022
Last Update Date
1 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
4880076454
Group Practice PAC ID
7416048772
Professional Enrollment ID
I20220728001637
Address ID
AR722055307Li500XXAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

629 PHYSICIAN ASSISTANT in AR

Provider Addresses for PRIYA PATEL (PA-C)

  • 317 CORONDELET LN

    MAUMELLE, AR 721137598

    Phone: (903) 908-2432

    Type: Mailing

  • 500 S UNIVERSITY AVE

    LITTLE ROCK, AR 722055302

    Phone: (501) 588-1100

    Type: Location

  • 1505 LBJ FWY STE 700

    DALLAS, TX 752346065

    Phone: (214) 358-2300

    Fax: (214) 579-6941

    Type: Mailing

  • 2005 W PARK DR STE 200

    IRVING, TX 750612034

    Phone: (214) 358-2300

    Fax: (214) 579-6984

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 113 Open Payments records for all available years, with a total value of $2,492.

Total Amount is formed as General ($2,492) + Research ($0) + Ownership ($0) = $2,492.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($455).

Total Amount

$2,492

General + Research + Ownership

Payments

113

Total payment records

General Amount

$2,492

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

View all Open Payments →|Open Payments Risk Radar →

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: 2025-10-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220728001637IPhysician AssistantARTBD
I20251017002862IPhysician AssistantTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72113)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416048772View full group profile
NameSpecialtyState
Nephrology, Internal MedicineAR
N E P H R O L O G YAR
Nephrology, Internal MedicineAR
Nephrology, Cardiovascular Disease (Cardiology)AR
Internal Medicine, NephrologyAR

Reviews

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Frequently asked questions

What NPI should I save for PRIYA PATEL (PA-C)?
Save NPI 1659019453 if you need a stable reference for PRIYA PATEL (PA-C).
Is PRIYA PATEL (PA-C) currently active in the NPI registry?
CMS-published data lists PRIYA PATEL (PA-C) as an active registrant.
What kind of provider is PRIYA PATEL (PA-C)?
The page reflects Physician Assistant for PRIYA PATEL (PA-C). Clinical services aligned with this taxonomy classification.
Where is PRIYA PATEL (PA-C)'s primary listing?
We display Maumelle, Arkansas because that is what the record indicates for PRIYA PATEL (PA-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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