DR. PRAGNESHKUMAR P PATEL (MD) – Psychiatry Physician, NPI 1104141423

DR. PRAGNESHKUMAR P PATEL (MD) is a healthcare provider. based in Tampa, Florida. specializing in PSYCHIATRY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME124740 (FL). The NPI Number for DR. PRAGNESHKUMAR P PATEL (MD) is 1104141423

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRAGNESHKUMAR P PATEL (MD)
NPI
1104141423
Phone
(813) 587-9911
Address
613 W DR MARTIN LUTHER KING JR BLVD STE 104
Enumeration Date
30 March 2010
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8135879911
Graduation Year
2015 (11 years ago)
PAC ID
5294959045
Professional Enrollment ID
I20160502000495
Address ID
FL336033400TA613XXBLVD802
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,954 PSYCHIATRY in FL

Provider Addresses for DR. PRAGNESHKUMAR P PATEL (MD)

  • 613 W DR MARTIN LUTHER KING JR BLVD STE 104

    TAMPA, FL 336033400

    Phone: (813) 587-9911

    Fax: (833) 905-0111

    Type: Location

  • West Dr. Martin Luther King Jr Boulevard, Tampa, Hillsborough County, Florida, 33603, United States

    TAMPA, FL 336033400

    Phone: (813) 237-1958

    Fax: (813) 237-8147

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 68 Open Payments records for all available years, with a total value of $1,376.

Total Amount is formed as General ($1,376) + Research ($0) + Ownership ($0) = $1,376.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($416).

Total Amount

$1,376

General + Research + Ownership

Payments

68

Total payment records

General Amount

$1,376

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-05-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160502000495IPsychiatryFLTBD

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 minutes709208$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12156$0
99213Established patient office or other outpatient visit, 20-29 minutes7751$0
90792Psychiatric diagnostic evaluation with medical services7675$0
90837Psychotherapy, 1 hour5818$0
View full utilization report →

Insurance plans in this area (ZIP 33603)

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Reviews

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Frequently asked questions

How do payers reference DR. PRAGNESHKUMAR P PATEL (MD)?
For DR. PRAGNESHKUMAR P PATEL (MD), use NPI 1104141423 as the unique 10-digit identifier.
Would DR. PRAGNESHKUMAR P PATEL (MD) appear as active to a payer?
You can treat DR. PRAGNESHKUMAR P PATEL (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. PRAGNESHKUMAR P PATEL (MD)?
DR. PRAGNESHKUMAR P PATEL (MD) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. PRAGNESHKUMAR P PATEL (MD) associated with Tampa?
Public fields place DR. PRAGNESHKUMAR P PATEL (MD) around Tampa, Florida. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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