DR. TARAK H. PATEL (MD) – Plastic Surgery Physician, NPI 1366627390
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. TARAK H. PATEL (MD)
5225 Cirque Dr W Ste 200
University Place, WA 984673639
Phone: (253) 848-3000
Type: Location
9040 FITZSIMMONS DR
MADIGAN ARMY MEDICAL CENTER
JOINT BASE LEWIS MCCHORD, WA 984311000
Phone: (253) 968-2917
Type: Location
1703 S Meridian Ste 101
Puyallup, WA 983717590
Phone: (253) 848-3000
Type: Location
1703, South Meridian, Puyallup, Pierce County, Washington, 98371, United States
PUYALLUP, WA 983717590
Phone: (253) 848-3000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $561.
Total Amount is formed as General ($561) + Research ($0) + Ownership ($0) = $561.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Mentor Worldwide LLC ($356).
Total Amount
$561
General + Research + Ownership
Payments
10
Total payment records
General Amount
$561
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mentor Worldwide LLC | $356 |
| MOTIVA USA, LLC | $121 |
| ABBVIE INC. | $57 |
| REVANCE THERAPEUTICS, INC. | $28 |
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: 2016-12-12
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 |
|---|---|---|---|---|
| I20161212002060 | I | Plastic And Reconstructive Surgery | WA | 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 98467)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WA | |
| - | WA | |
| O P H T H A L M O L O G Y | WA | |
| D E R M A T O L O G Y | WA | |
| - | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| O P H T H A L M O L O G Y | TX | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | WA | |
| O P H T H A L M O L O G Y | WA |
Reviews
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