Pratik Surendra Patel, M.D.
Pulmonary Disease Physician · Newark, NJ
Pratik Surendra Patel, M.D. is a pulmonary disease physician with a practice address in Newark, New Jersey, and NPI 1952321077, issued on Jul 20, 2006. Check the license (New Jersey 25MA07973300, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Pratik Surendra Patel
- Credential
- M.D.
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 25MA07973300 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 201 Lyons Ave # L-4, Newark, NJ 07112
- Phone
- (973) 926-4430
- Enumerated
- Jul 20, 2006
- Record last updated
- Nov 17, 2022
- Medicaid ID
- 0102148 NJ
- Medicare enrollment
- Enrolled (PECOS I20060426000476); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 509 in New Jersey → Look up another NPI →
Also registered at 201 Lyons Ave # L-4
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Xinlai Sun, MDAnatomic Pathology & Clinical Pathology Physician1053335976
Verify Pratik Surendra Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA07973300Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
46% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
764 Medicare Part D claims for 136 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 60% of claims.
Most prescribed
- Albuterol Sulfate Hfa240 claims
- Trelegy Ellipta84 claims
- Spiriva Respimat43 claims
- Fluticasone-Salmeterol37 claims
- Stiolto Respimat32 claims
- Fluticasone Propionate30 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 MIPS final score for 2023 (Medicare payment program): 93.7 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $2,428.37
119 payments; by number, the most common kind was food and beverage; the largest payer was Boston Scientific Corporation. The 8,806 providers of this specialty with any payment received $5,159.88 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 2 group practices
- Barnabas Health Medical Group PCNewark, NJ
- Rwjbh Observation Associates LLCNewark, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Pratik Surendra Patel among 509 pulmonary disease physician records in New Jersey
Pratik Surendra Patel, M.D. is one of 509 pulmonary disease physician records with a practice address in New Jersey. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 11% of them.
- NPI issued2006 · 11% of these records are older, 43% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 79% of these records are
- Graduated2002 · median 1998 among the 401 with a school on file
- Record last updated2022 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in New Jersey
There are 509 pulmonary disease physician records in New Jersey.
All 509 in New Jersey → Every provider in Newark → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Thiruvengadam Anandarangam, MDNewark, NJ 071121427014224
- Katherine Chiapaikeo-Poco, D.O.Newark, NJ 071121124445200
- Angelica Fernandes, M.DNewark, NJ 071121366995771
- Keith Guevarra, D.O.Newark, NJ 071121699925263
- Joan Leonard Hudgins, M.D.Newark, NJ 071121154430924
- Marc Lindner, D.O.Newark, NJ 071121891138236
- Christina Migliore, M.D.Newark, NJ 071121508883752
- Habib Nazir, MDNewark, NJ 071121598008948
Common questions
What is Pratik Surendra Patel, M.D.'s NPI number?
Pratik Surendra Patel, M.D.'s National Provider Identifier (NPI) is 1952321077, issued on Jul 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Pratik Surendra Patel, M.D. located?
The NPPES record lists a practice address at 201 Lyons Ave # L-4, Newark, NJ, 07112. Phone: (973) 926-4430. Providers update this record themselves, so call before visiting.
How can I verify Pratik Surendra Patel, M.D.'s license?
NPPES lists New Jersey license number 25MA07973300, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Pratik Surendra Patel, M.D. prescribe under Medicare Part D?
In 2024, Pratik Surendra Patel, M.D. had 764 Medicare Part D claims for 136 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Pratik Surendra Patel, M.D.'s MIPS final score?
The 2023 MIPS final score is 93.7 of 100. 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.