Dr. Pratikkumar Patel
- Gender: Male
- Sole propriator: No
- NPI: 1467747527
Dr. Pratikkumar Patel M.D.M.P.H
Pediatrician
He is located at 830 Pennsylvania Avenue Suite 401 in Charleston, WV 25302. Can help patients with the following: Anencephaly, Enuresis, Food Poisoning, Infant Care, Kawasaki Disease, Pinworm Infection. His National Provider Identifier (NPI) number is 1467747527. Appointment can be made via the phone number (304) 388-1552.
Conditions treated
Dr. Pratikkumar Patel, being an pediatrician, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Pratikkumar Patel.
- Abdominal Pain
- Allergic Reaction
- Anemia
- Anencephaly
- Asthma
- Autism
- Bee and Wasp Stings
- Birth Defects
- Bronchitis
- Cerebral Palsy (CP)
- Childhood Behavioral and Emotional Disorders
- Childhood Obesity
- Chronic Cough
- Cleft Palate and Cleft Lip
- Colic
- Common Cold
- Croup
- Developmental Delays
- Down Syndrome
- Dyslexia
- Eczema
- Edwards Syndrome
- Enuresis
- Fetal Alcohol Syndrome (FAS)
- Fever
- Food Poisoning
- Fragile X Syndrome (FXS)
- General Care
- Hay Fever
- Head Lice
- Headache
- Hives
- Infant Care
- Influenza
- Jaundice
- Kawasaki Disease
- Learning Disability
- Migraine
- Muscular Dystrophy
- Nausea and Vomiting
- Noonan Syndrome
- Parenting
- Pervasive Developmental Disorders (PDD)
- Phenylketonuria (PKU)
- Pinworm Infection
- Prescription Refill
- Reye Syndrome
- Rickets
- Sinusitis
- Skin Rash
- Sore Throat
- Speech Disorders
- Stuttering
- Sudden Infant Death Syndrome (SIDS)
- Tourette Syndrome
- Turner Syndrome
- Upper Respiratory Infection (URI)
- Urinary Tract Infection (UTI)
- Williams Syndrome
- Wilson-Turner Syndrome
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Pratikkumar Patel as in-network for the following 2026 plans.
Health plans
CareSource
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 22 plans from CareSource
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze 7500 $25 Generic Drugs | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Diabetes Gold 3000 $0 Chronic Care Drugs & Services | HMO · Gold | Preferred | Accepting new patients |
| Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness | HMO · Gold | Preferred | Accepting new patients |
| Diabetes Silver 5000 $0 Chronic Care Drugs & Services | HMO · Silver | Preferred | Accepting new patients |
| Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness | HMO · Silver | Preferred | Accepting new patients |
| Gold 2000 $15 Generic Drugs | HMO · Gold | Preferred | Accepting new patients |
| Gold 2000 $15 Generic Drugs + Adult Vision & Fitness | HMO · Gold | Preferred | Accepting new patients |
| Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services | HMO · Gold | Preferred | Accepting new patients |
| Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness | HMO · Gold | Preferred | Accepting new patients |
| Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services | HMO · Silver | Preferred | Accepting new patients |
| Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness | HMO · Silver | Preferred | Accepting new patients |
| Low Deductible Silver 5000 $3 Generic Drugs | HMO · Silver | Preferred | Accepting new patients |
| Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness | HMO · Silver | Preferred | Accepting new patients |
| Low Premium Bronze 10600 $25 Generic Drugs | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Low Premium Silver 6200 $3 Generic Drugs | HMO · Silver | Preferred | Accepting new patients |
| Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness | HMO · Silver | Preferred | Accepting new patients |
| Platinum Zero $5 Generic Drugs | HMO · Platinum | Preferred | Accepting new patients |
| Platinum Zero $5 Generic Drugs + Adult Vision & Fitness | HMO · Platinum | Preferred | Accepting new patients |
| Silver 6000 $20 Generic Drugs | HMO · Silver | Preferred | Accepting new patients |
| Silver 6000 $20 Generic Drugs + Adult Vision & Fitness | HMO · Silver | Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Pratikkumar Patel is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Pratikkumar Patel is enrolled to bill Medicare as a Practitioner - Gastroenterology (also registered under: Practitioner - Pediatric Medicine) .
Bills through: Charleston Area Medical Center Inc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Gilead Sciences Inc. | $210 |
| Philips Electronics North America | $25 |
Other
| Food and Beverage | $236 |
Additional Specialities
- Resident
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Questions & Answers
Where can you meet with Dr. Pratikkumar Patel?
Dr. Pratikkumar Patel's office is located at 830 Pennsylvania Avenue Suite 401 in Charleston, WV 25302.
Does Dr. Pratikkumar Patel accept patients with CareSource?
Yes, Dr. Pratikkumar Patel is listed in-network for CareSource through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
What conditions does Dr. Pratikkumar Patel treat?
Dr. Pratikkumar Patel provides treatment for Anencephaly, Enuresis, Food Poisoning, Infant Care, Kawasaki Disease, Pinworm Infection. For the full list see this list.