Pranjal Patel, M.D.
Emergency Medicine Physician · San Jose, CA
Pranjal Patel, M.D. is an emergency medicine physician with a practice address in San Jose, California, and NPI 1255620787, issued on Apr 5, 2011. Check the license (California A127994, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Pranjal Patel
- Credential
- M.D.
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- License number
- A127994 CA
Self-reported in NPPES; status is on the state search - Practice location
- 751 S Bascom Ave, San Jose, CA 95128
- Phone
- (405) 885-6912
- Enumerated
- Apr 5, 2011
- Record last updated
- Dec 21, 2016 (not updated in 10 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20140707001133); accepts Medicare assignment
- Medical or professional school
- Rush Medical College Of Rush University, 2011
- Entity
- Type 1 · individual
8 nearest emergency medicine physician records → All 7,751 in California → Look up another NPI →
Also registered at 751 S Bascom Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Pranjal Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license A127994Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
10% more Medicare Part D claims than the average emergency medicine physician in 2024
248 Medicare Part D claims for 184 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D. 24 claims were for opioids.
Most prescribed
- Cephalexin34 claims
- Ondansetron Odt25 claims
- Hydrocodone-Acetaminophen21 claims
- Cyclobenzaprine Hcl19 claims
- Methylprednisolone13 claims
- Meclizine Hcl11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 94.9 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $50.65
3 payments; by number, the most common kind was food and beverage; the largest payer was Analog Devices Inc. The 12,335 providers of this specialty with any payment received $953.79 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Mills-Peninsula Emergency Medical Associates, IncBurlingame, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Pranjal Patel among 7,751 emergency medicine physician records in California
Pranjal Patel, M.D. is one of 7,751 emergency medicine physician records with a practice address in California. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 60% of them.
- NPI issued2011 · 60% of these records are older, 37% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2011 · median 2011 among the 4,560 with a school on file
- Record last updated2016 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Emergency Medicine Physician providers in California
There are 7,751 emergency medicine physician records in California.
All 7,751 in California → Every provider in San Jose → Emergency Medicine Physician nationwide →
The 8 emergency medicine physician records with the nearest ZIP codes
- Meenesh Bhimani, MDSan Jose, CA 951281598712069
- Jan Bravo, MDSan Jose, CA 951281083651657
- Michael Chin, MDSan Jose, CA 951281700824042
- Howard Davis, MDSan Jose, CA 951281164464319
- Joan Gates, M.D.San Jose, CA 951281245213727
- Steve Germany, DOSan Jose, CA 951281326076241
- Gregory Groetsema, MDSan Jose, CA 951281790727873
- Benjamin Hafkenschiel, MDSan Jose, CA 951281710940457
Common questions
What is Pranjal Patel, M.D.'s NPI number?
Pranjal Patel, M.D.'s National Provider Identifier (NPI) is 1255620787, issued on Apr 5, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Pranjal Patel, M.D. located?
The NPPES record lists a practice address at 751 S Bascom Ave, San Jose, CA, 95128. Phone: (405) 885-6912. Providers update this record themselves, so call before visiting.
How can I verify Pranjal Patel, M.D.'s license?
NPPES lists California license number A127994, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Pranjal Patel, M.D. prescribe under Medicare Part D?
In 2024, Pranjal Patel, M.D. had 248 Medicare Part D claims for 184 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.
What is Pranjal Patel, M.D.'s MIPS final score?
The 2023 MIPS final score is 94.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.