PRAFUL PATEL MD
NPI 1720048457
Internal Medicine - Clinical Cardiac Electrophysiology in Wilmington, NC
NPI Status: Active since March 25, 2006
Contact Information
1415 PHYSICIANS DR
WILMINGTON, NC
ZIP 28401
Phone: (910) 662-9500
- Individual
- Male
- Internal Medicine
- Clinical Cardiac Electrophysiology
- PECOS Enrolled
About PRAFUL PATEL
This page provides the complete NPI Profile along with additional information for Praful Patel, an internist established in Wilmington, North Carolina with a medical specialization in Internal Medicine, focusing in clinical cardiac electrophysiology . The healthcare provider is registered in the NPI registry with number 1720048457 assigned on March 2006. The practitioner's primary taxonomy code is 207RC0001X with license number 39056 (NC). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1720048457
- Provider Name
- PRAFUL PATEL MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1415 PHYSICIANS DR WILMINGTON, NC 28401
- Location Phone
- (910) 662-9500
- Mailing Address
- PO BOX 19305 CHARLOTTE, NC 28219
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-25-2006
- Last Update Date
- 09-25-2020
- Code Navigator
An internist like Praful Patel is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 7420 Market St
Wilmington, NC 28411
(910) 686-2525 - 5145 S College Rd
Wilmington, NC 28412
(910) 792-1144 - 1960 S 16th St
Wilmington, NC 28401
(910) 343-9991 - 800 Jefferson St Ste 112
Whiteville, NC 28472
(910) 642-8164
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Clinical Cardiac Electrophysiology
- Taxonomy Code
- 207RC0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 39056
- License State
- NC
- Taxonomy Description
- A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Medicare Participation & PECOS Enrollment Status
Praful Patel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 28401 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $125.01
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $31.25
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.94
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $23.98
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 0 | 4 | 8 | 4 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 0 | 4 | 16 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 0 + 4 + 1 + 6 + 4 + 1 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1720048457 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1679577407 | DR. ROBERT ALAN ASHWORTH PHARM D Individual | Pharmacist (Pharmacotherapy) | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9691 |
| 1750892865 | DANIELLE WRIGHT PHARMD Individual | Pharmacist | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9691 |
| 1275714453 | SHARON LANE Individual | Physician Assistant | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9500 |
| 1700826617 | JAMES MCCRISKIN DO Individual | Internal Medicine (Cardiovascular Disease) | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9500 |
| 1851385355 | JAMES SNYDER MD Individual | Internal Medicine (Cardiovascular Disease) | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9500 |
| 1588658025 | PETER JOSEPH WIEGMAN MD Individual | Internal Medicine (Cardiovascular Disease) | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9500 |
| 1376537118 | MARTIN JAMES CONLEY JR. MD Individual | Internal Medicine (Cardiovascular Disease) | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9500 |
| 1295701944 | DEBORAH ELIZABETH WARNER PA Individual | Physician Assistant | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9500 |
| 1316907041 | WILLIAM LEWIS MD Individual | Internal Medicine (Interventional Cardiology) | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9500 |
| 1609836279 | DAVID ELLIS WEAVER MD Individual | Internal Medicine (Interventional Cardiology) | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9500 |
| 1447286729 | KATHLEEN JONES PA Individual | Physician Assistant | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9500 |
| 1588684856 | TAMI MARTIN PA Individual | Physician Assistant | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9500 |
| 1487762464 | CHRISTOPHER BARBER MD Individual | Internal Medicine (Cardiovascular Disease) | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9500 |
| 1265540298 | TIMOTHY MERRILL WINSLOW MD Individual | Internal Medicine (Cardiovascular Disease) | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9500 |
| 1225146210 | WILLIAM PRESTON BUCHANAN MD Individual | Internal Medicine (Interventional Cardiology) | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9500 |
| 1659597169 | JOSHUA ANDREW SPENCER MD Individual | Internal Medicine (Cardiovascular Disease) | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9500 |
| 1306088737 | SUNIL RAMAKRISHNAN IYER MD Individual | Internal Medicine (Cardiovascular Disease) | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9500 |
| 1205061678 | JOHN JAMES ROMMEL MD Individual | Internal Medicine (Advanced Heart Failure and Transplant Cardiology) | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9500 |
| 1659685188 | JAMIE LYONS PA Individual | Physician Assistant | 1415 PHYSICIANS DR WILMINGTON, NC 28401 (910) 662-9500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720048457, enumerated in the NPI registry as an "individual" on March 25, 2006
The provider is located at 1415 Physicians Dr Wilmington, Nc 28401 and the phone number is (910) 662-9500
The provider's speciality is Internal Medicine with taxonomy code 207RC0001X with a focus in Clinical Cardiac Electrophysiology
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $125.01 with an average copayment of $31.25 for new patient appointments. Established patients should expect a typical charge of $95.94 and an average copayment of 23.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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