DR. PRATIK SURENDRA PATEL (M.D.) – Pulmonary Disease Physician, NPI 1952321077
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
632 PULMONARY DISEASE in NJ
Provider Addresses for DR. PRATIK SURENDRA PATEL (M.D.)
201 LYONS AVE # L-4
NEWARK, NJ 071122027
Phone: (973) 926-4430
Type: Location
Newark Beth Israel Medical Center, 201, Lyons Avenue, Newark, Essex County, New Jersey, 07112, United States
C-4
NEWARK, NJ 071122027
Phone: (973) 926-7333
Type: Location
201 LYONS AVE STE L4
NEWARK, NJ 071122027
Phone: (973) 926-4430
Fax: (973) 926-5658
Type: Mailing
Avalon Cove, 444, Washington Boulevard, Newport, Jersey City, Hudson County, New Jersey, 07310, United States
APT. #1311
JERSEY CITY, NJ 073101901
Phone: (201) 798-5117
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 234 Open Payments records for all available years, with a total value of $4,672.
Total Amount is formed as General ($4,672) + Research ($0) + Ownership ($0) = $4,672.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boston Scientific Corporation ($1,392).
Total Amount
$4,672
General + Research + Ownership
Payments
234
Total payment records
General Amount
$4,672
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
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: 2006-04-26
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 |
|---|---|---|---|---|
| I20060426000476 | I | Pulmonary Disease | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 248 | 71 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 76 | 27 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 16 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 07112)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Critical Care (Intensivists), Pulmonary Disease | NJ | |
| - | NJ | |
| General Surgery | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| General Surgery | NY | |
| General Surgery | NJ |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.