PRATIK PATEL (M.D.) – Gastroenterology Physician, NPI 1538515853

PRATIK PATEL (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. ME168430 (FL). The NPI Number for PRATIK PATEL (M.D.) is 1538515853

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
PRATIK PATEL (M.D.)
NPI
1538515853
Phone
(904) 398-7205
Address
4800 Belfort Rd
Enumeration Date
5 May 2016
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9046640838
Graduation Year
2015 (11 years ago)
PAC ID
9537439054
Group Practice PAC ID
6507761301
Professional Enrollment ID
I20250606003474
Address ID
FL322597529ST150XXPKWY402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

1,475 GASTROENTEROLOGY in FL

Provider Addresses for PRATIK PATEL (M.D.)

  • 4800 Belfort Rd

    Jacksonville, FL 322566004

    Phone: (904) 398-7205

    Type: Location

  • 75 N COUNTRY RD

    PORT JEFFERSON, NY 117772190

    Phone:

    Type: Mailing

  • 3699, South Ridge Circle, Titusville, Brevard County, Florida, 32796, United States

    TITUSVILLE, FL 327961866

    Phone: (321) 301-7251

    Type: Mailing

  • Aventura Hospital and Medical Center, 20900, Biscayne Boulevard, Aventura, Miami-Dade County, Florida, 33180, United States

    AVENTURA, FL 331801407

    Phone: (305) 682-7000

    Type: Location

  • 4800 BELFORT RD

    JACKSONVILLE, FL 322566004

    Phone: (904) 398-7205

    Type: Mailing

  • 150 LONGLEAF PINE PKWY STE 200

    ST JOHNS, FL 322597529

    Phone: (904) 398-7205

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $1,203.

Total Amount is formed as General ($1,203) + Research ($0) + Ownership ($0) = $1,203.

Last reported payment date: 2024-08-17 • Largest payer in this snapshot: Boston Scientific Corporation ($1,203).

Total Amount

$1,203

General + Research + Ownership

Payments

8

Total payment records

General Amount

$1,203

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-17

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: 2025-06-06

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
I20250606003474IGastroenterologyFLTBD

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 32256)

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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: 6507761301View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
P A T H O L O G YFL
Gastroenterology, Internal MedicineFL
Gastroenterology, Internal MedicineFL
G A S T R O E N T E R O L O G YFL
Internal Medicine, GastroenterologyFL
Internal Medicine, GastroenterologyFL
Nurse PractitionerFL
-FL
-FL

Reviews

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Frequently asked questions

Can I verify PRATIK PATEL (M.D.) with an NPI only?
You can start verification with NPI 1538515853 for PRATIK PATEL (M.D.), then check state licensing separately.
Can I rely on PRATIK PATEL (M.D.) being an active provider?
As of the registry snapshot, PRATIK PATEL (M.D.) is marked active.
What taxonomy line describes PRATIK PATEL (M.D.)?
For research purposes, treat PRATIK PATEL (M.D.) as Gastroenterology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does PRATIK PATEL (M.D.) list a practice location?
Patients near Jacksonville, Florida may find PRATIK PATEL (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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