NPPES file of Aug 9, 2026

Pritiben Patel, MD

Family Medicine Physician · Duarte, CA

Pritiben Patel, MD is a family medicine physician with a practice address in Duarte, California, and NPI 1720469828, issued on Jun 15, 2015. Check the license (California A153457, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1720469828
Name
Pritiben Patel
Credential
MD
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
A153457 CA
Self-reported in NPPES; status is on the state search
Practice location
1500 Duarte RD, Duarte, CA 91010
Phone
(626) 256-4673
Enumerated
Jun 15, 2015
Record last updated
Dec 3, 2021 (not updated in 5 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20180703002791); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1500 Duarte RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Chelsea Abad, CRNP, AGPCNP - BCGerontology Nurse Practitioner1952848137
  2. Wajidah Abdul-KhabirHospitalist Physician1215323522
  3. Farah Abdulla, MDDermatology Physician1093934390
  4. Megan Abel, PA-CPhysician Assistant1104100619
  5. Michelle Afkhami, M.D.Hematology (Pathology) Physician1326230228
  6. Vaibhav Agrawal, M.D.Hematology & Oncology Physician1538402565

Verify Pritiben Patel in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license A153457
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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96% fewer Medicare Part D claims than the average family medicine physician in 2024

155 Medicare Part D claims for 71 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims.

  1. Pritiben Patel155
  2. Specialty average3,544

Most prescribed

  1. Levofloxacin18 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): 99.1 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.

  1. Qualityout of 100 · 30% of the final score85.2
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

  1. City OF Hope Medical FoundationIrvine, CA
  2. Southern California Permanente Medical GroupGarden Grove, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Pritiben Patel among 17,133 family medicine physician records in California

Pritiben Patel, MD is one of 17,133 family 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 2015, is newer than 74% of them.

  • NPI issued2015 · 74% of these records are older, 24% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 62% of these records are
  • Graduated2011 · median 2005 among the 10,652 with a school on file
  • Record last updated2021 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Family Medicine Physician providers in California

There are 17,133 family medicine physician records in California.

The 8 family medicine physician records with the nearest ZIP codes

  1. Jonathan Ashby, DODuarte, CA 910101972784882
  2. Roy Saenz, MDDuarte, CA 910101831195221
  3. Michael Zourabian, MDDuarte, CA 910101831304831
  4. David Lee, D.O.La Canada, CA 910111699016980
  5. Sevana Manukian, MD, MPHLa Canada Flintridge, CA 910111174265078
  6. Karl Peterson, M.D.La Canada, CA 910111912971615
  7. Diana Sayadyan, M.D.La Canada, CA 910111598720377
  8. William Schubert, M.D.La Canada, CA 910111801874003

Common questions

What is Pritiben Patel, MD's NPI number?

Pritiben Patel, MD's National Provider Identifier (NPI) is 1720469828, issued on Jun 15, 2015. An NPI identifies a provider in billing; it is not a license.

Where is Pritiben Patel, MD located?

The NPPES record lists a practice address at 1500 Duarte RD, Duarte, CA, 91010. Phone: (626) 256-4673. Providers update this record themselves, so call before visiting.

How can I verify Pritiben Patel, MD's license?

NPPES lists California license number A153457, 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 Pritiben Patel, MD prescribe under Medicare Part D?

In 2024, Pritiben Patel, MD had 155 Medicare Part D claims for 71 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

What is Pritiben Patel, MD's MIPS final score?

The 2023 MIPS final score is 99.1 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.