PRANAV PATEL (M.D.) – Cardiovascular Disease Physician, NPI 1093177594
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,298 CARDIOVASCULAR DISEASE (CARDIOLOGY) in NJ
Provider Addresses for PRANAV PATEL (M.D.)
61, Bligh Street, Tewksbury, Middlesex County, Massachusetts, 01876-0841, United States
TEWKSBURY, MA 018761373
Phone: (978) 397-5720
Type: Mailing
3 Cooper Plz Rm 311
Camden, NJ 081031438
Phone: (856) 342-2683
Type: Location
Johns Hopkins Bayview Medical Center, 4940, Eastern Avenue, Bayview, Baltimore, Maryland, 21224, United States
RANDY BARKER MEDICAL GROUP 301 BUILDING
BALTIMORE, MD 212242735
Phone: (410) 550-3350
Fax: (410) 550-1094
Type: Location
1 FEDERAL ST # 200
CAMDEN, NJ 081031088
Phone: (848) 288-6935
Fax: (732) 790-0107
Type: Mailing
698 MULLICA HILL RD STE 330
MULLICA HILL, NJ 080624453
Phone: (856) 508-3707
Fax: (856) 221-4077
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $942.
Total Amount is formed as General ($942) + Research ($0) + Ownership ($0) = $942.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($178).
Total Amount
$942
General + Research + Ownership
Payments
49
Total payment records
General Amount
$942
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
Top Companies
Largest payers in this snapshot
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: 2020-12-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201209000043 | I | Cardiovascular Disease (Cardiology) | NJ | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 603 | 325 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 475 | 449 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 163 | 151 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 151 | 120 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 100 | 99 | $0 |
Insurance plans in this area (ZIP 01876)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Critical Care (Intensivists) | NJ | |
| - | NJ | |
| - | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| - | NJ | |
| N E U R O L O G Y | NJ | |
| Physician Assistant | PA | |
| Nurse Practitioner | NJ | |
| Infectious Disease, Internal Medicine | PA |
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