DR. PRASHANT S PATEL (M.D.) – Hospitalist Physician, NPI 1689668543

DR. PRASHANT S PATEL (M.D.) is a healthcare provider. based in Shelby township, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301077080 (MI). The NPI Number for DR. PRASHANT S PATEL (M.D.) is 1689668543

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRASHANT S PATEL (M.D.)
NPI
1689668543
Phone
(586) 731-8400
Address
50505 SCHOENHERR RD STE 340
Enumeration Date
7 September 2005
Last Update Date
26 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5867318400
Graduation Year
2000 (26 years ago)
PAC ID
2961421714
Group Practice PAC ID
4880613637
Professional Enrollment ID
I20051128000129
Address ID
MI483153140SH50505RDXX317
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for DR. PRASHANT S PATEL (M.D.)

  • 50505 SCHOENHERR RD STE 340

    SHELBY TOWNSHIP, MI 483153140

    Phone: (586) 731-8400

    Fax: (586) 731-8406

    Type: Mailing

  • 50505, Schoenherr Road, Shelby Charter Township, Macomb County, Michigan, 48315, United States

    SUITE 340

    SHELBY TOWNSHIP, MI 483153140

    Phone: (586) 731-8400

    Fax: (586) 731-8406

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $241.

Total Amount is formed as General ($241) + Research ($0) + Ownership ($0) = $241.

Last reported payment date: 2024-01-25 • Largest payer in this snapshot: Inari Medical, Inc. ($159).

Total Amount

$241

General + Research + Ownership

Payments

4

Total payment records

General Amount

$241

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-25

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: 2005-11-28

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
I20051128000129IInternal MedicineMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes748259$0
99238Hospital discharge day management, 30 minutes or less245226$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes243225$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes18155$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8683$0
View full utilization report →

Insurance plans in this area (ZIP 48315)

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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: 4880613637View full group profile
NameSpecialtyState
Internal Medicine, HospitalistMI
-MI
Internal Medicine, HospitalistMI
-MI
Hospitalist, Internal MedicineTX
Internal Medicine, Geriatric Medicine, Pain ManagementMI
Nurse PractitionerMI
Family Practice, HospitalistMI
Nurse PractitionerMI
Hospitalist, Internal MedicineTX

Reviews

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Frequently asked questions

Is DR. PRASHANT S PATEL (M.D.) listed with a National Provider Identifier?
Yes — DR. PRASHANT S PATEL (M.D.) has NPI 1689668543 on file in the registry.
Would DR. PRASHANT S PATEL (M.D.) appear as active to a payer?
You can treat DR. PRASHANT S PATEL (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. PRASHANT S PATEL (M.D.)?
DR. PRASHANT S PATEL (M.D.)'s specialty line reads Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. PRASHANT S PATEL (M.D.)?
Travel planning: use Shelby Township, Michigan as the reference point for DR. PRASHANT S PATEL (M.D.), then confirm.
Can I trust this NPI listing for DR. PRASHANT S PATEL (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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