Dr Pranjal Patel, MD - Medicare Emergency Medicine in San Jose, CA

Dr Pranjal Patel, MD is a medicare enrolled "Emergency Medicine" physician in San Jose, California. She went to Rush Medical College Of Rush University and graduated in 2011 and has 13 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Mills-peninsula Emergency Medical Associates, Inc and her current practice location is 751 S Bascom Ave, Emergency Department, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (405) 885-6912.

Dr Pranjal Patel is licensed to practice in California (license number A127994) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255620787.

Contact Information

Dr Pranjal Patel, MD
751 S Bascom Ave, Emergency Department,
San Jose, CA 95128-2604
(405) 885-6912
Not Available

Map and Direction




Physician's Profile

Full NameDr Pranjal Patel
GenderFemale
SpecialityEmergency Medicine
Experience13 Years
Location751 S Bascom Ave, San Jose, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Pranjal Patel attended and graduated from Rush Medical College Of Rush University in 2011
  NPI Data:
  • NPI Number: 1255620787
  • Provider Enumeration Date: 04/05/2011
  • Last Update Date: 12/21/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8729203781
  • Enrollment ID: I20140707001133

Medical Identifiers

Medical identifiers for Dr Pranjal Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255620787NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A127994 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Peninsula Medical CenterBurlingame, CAHospital
Stanford Health CareStanford, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mills-peninsula Emergency Medical Associates, Inc418366890828

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Pranjal Patel allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameStanford Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437292927
PECOS PAC ID: 6709797491
Enrollment ID: O20031124000348
Entity NameCounty Of San Mateo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679642326
PECOS PAC ID: 9032023171
Enrollment ID: O20031126000292
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784
Entity NameCounty Of San Mateo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831268580
PECOS PAC ID: 9032023171
Enrollment ID: O20040123000822
Entity NameMills-peninsula Emergency Medical Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841226529
PECOS PAC ID: 4183668908
Enrollment ID: O20050613001254

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Pranjal Patel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Pranjal Patel, MD
751 S Bascom Ave, Emergency Department,
San Jose, CA 95128-2604

Ph: (405) 885-6912
Dr Pranjal Patel, MD
751 S Bascom Ave, Emergency Department,
San Jose, CA 95128-2604

Ph: (405) 885-6912

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.