MR. PALAK JITENDRA PATEL (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1922367572

MR. PALAK JITENDRA PATEL (MD) is a healthcare provider. based in Crescent city, California. specializing in INTERNAL MEDICINE, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 142046 (CA). The NPI Number for MR. PALAK JITENDRA PATEL (MD) is 1922367572

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. PALAK JITENDRA PATEL (MD)
NPI
1922367572
Phone
(707) 464-6151
Address
1280 Marshall St
Enumeration Date
15 May 2012
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5414129800
Graduation Year
2012 (14 years ago)
PAC ID
9234426180
Group Practice PAC ID
7113330739
Professional Enrollment ID
I20180315001788
Address ID
OR974159403BR97825AVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

21,558 INTERNAL MEDICINE in CA

Provider Addresses for MR. PALAK JITENDRA PATEL (MD)

  • 1280 Marshall St

    Crescent City, CA 955312217

    Phone: (707) 464-6151

    Type: Location

  • 97825 Shopping Center Ave

    Brookings, OR 97415

    Phone: (541) 412-9800

    Type: Location

  • 97825 SHOPPING CENTER AVE

    BROOKINGS, OR 974159403

    Phone: (707) 412-9800

    Fax: (707) 412-9600

    Type: Location

  • PO BOX 2742

    HARBOR, OR 974150326

    Phone: (541) 412-9800

    Fax: (541) 412-9600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $588.

Total Amount is formed as General ($588) + Research ($0) + Ownership ($0) = $588.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($99).

Total Amount

$588

General + Research + Ownership

Payments

28

Total payment records

General Amount

$588

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2018-03-15

PECOS data refreshed: 2026-06-15

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
I20160921001334IInternal MedicineCATBD
I20180315001788IInternal MedicineORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2,497611$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes1,218183$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days975162$0
99497Advance care planning, first 30 minutes794354$0
99213Established patient office or other outpatient visit, 20-29 minutes558323$0
View full utilization report →

Insurance plans in this area (ZIP 95531)

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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: 7113330739View full group profile
NameSpecialtyState
Internal MedicineOR
Family PracticeTX

Reviews

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Frequently asked questions

How is MR. PALAK JITENDRA PATEL (MD) identified in CMS data?
CMS-hosted NPPES data lists MR. PALAK JITENDRA PATEL (MD) with NPI 1922367572.
Is MR. PALAK JITENDRA PATEL (MD) listed as active for patients and plans?
The listing shows MR. PALAK JITENDRA PATEL (MD) as active in the NPI system.
What is MR. PALAK JITENDRA PATEL (MD) best known for clinically?
Directory data describes MR. PALAK JITENDRA PATEL (MD) with Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What area does MR. PALAK JITENDRA PATEL (MD) serve?
MR. PALAK JITENDRA PATEL (MD)'s listing highlights Crescent City, California; more addresses can appear in NPPES.
Why does MR. PALAK JITENDRA PATEL (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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