Pragneshkumar Patel, MD
NPI 1073075842ActiveIndividual· Internal Medicine· Flushing, NY
Internal Medicine (MD) with Southeastern Physician Services PC and 4 other groups, practicing in Flushing, New York. 332 Medicare patients in 2024, $67,986 paid; nearly all of their 490 Part D prescriptions were generic (90%). Abbvie Inc. reported $13.77 in payments in 2025, mostly food and beverage. Lists Essentia Health and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1073075842 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 2, 2019 |
| Last updated in NPPES | Apr 8, 2026 |
| Certified by provider | Apr 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 64966 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hospitalist (MN); Practitioner - Hospitalist (ND); Practitioner - Internal Medicine (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 332 |
|---|---|
| Services billed | 869 across 9 procedure codes |
| Paid by Medicare | $67,986 |
Part D prescriptions in 2024
| Prescriptions (claims) | 490 · 555 30-day fills |
|---|---|
| Patients | 239 |
| Total drug cost | $23,952 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical groups
- Southeastern Physician Services PCSaint Peters, MO · 593 clinicians
- Innovis Health LLCFargo, ND · 559 clinicians
- Hospital Medicine Services of Tn LLCNashville, TN · 275 clinicians
- St Marys Regional Health CenterMenahga, MN · 190 clinicians
- Cookeville Hospitalist Group PLLCCookeville, TN · 57 clinicians
Hospital affiliations
- Essentia HealthFargo, ND
- Essentia Health St Marys - Detroit LakesDetroit Lakes, MN
- Tristar Summit Medical CenterHermitage, TN
Industry payments (Open Payments)
- 2025$13.77 · 1 payment from 1 company
- 2024$66.80 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $13.77 | 1 |
What the 2025 payments were for
- Food and Beverage$13.77 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 356 internal medicine physicians in Flushing · All internal medicine physicians in New York