NPI Details
Prafullkumar Gordhan Patel, M.D. is an internal medicine in Brooklyn Park, MD with 41 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Prafullkumar Gordhan Patel, M.D. NPI is 1750302154. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4600 RITCHIE HWY
BROOKLYN PARK, MD
ZIP 21225-753
Phone: (410) 789-1469
Fax: (410) 789-2826
The NPI 1750302154 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 21D2251039 - physician office with a certificate type of Certificate of Waiver.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
- Fee covid-19 vac 14 res (HCPCS:0134A)
- Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Blood test, clotting time (HCPCS:85610)
- Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
- Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Fee covid-19 vac 13 res (HCPCS:0124A)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
The enumeration date for this NPI number is 7/21/2006 and was last updated on 10/11/2021.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | D37111 | MARYLAND | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 547481700 | MEDICAID | MARYLAND | |
