PRAYAG R PATEL – Physical Medicine & Rehabilitation Physician, NPI 1629654132
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
83 PHYSICAL MEDICINE AND REHABILITATION in IA
Provider Addresses for PRAYAG R PATEL
2450 CORAL CT
CORALVILLE, IA 522412975
Phone: (708) 768-1507
Type: Location
2001 W 86th St
Indianapolis, IN 462601902
Phone: (317) 338-6399
Fax: (317) 338-6359
Type: Location
26W171 Roosevelt Rd
Wheaton, IL 601876002
Phone: (630) 909-8000
Type: Location
2001 W 86TH ST
INDIANAPOLIS, IN 462601902
Phone: (317) 338-6399
Fax: (317) 338-6359
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-09-04
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 |
|---|---|---|---|---|
| I20250815002143 | I | Physical Medicine And Rehabilitation | IA | TBD |
| I20250904002175 | I | Physical Medicine And Rehabilitation | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 52241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Physical Medicine And Rehabilitation | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | SC | |
| Physician Assistant | IN |
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