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SOUMYA PATNAIK MD
NPI 1023458080
Internal Medicine - Cardiovascular Disease in Houston, TX

Active since July 04, 2013PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
5656 KELLEY ST, HOUSTON, TX 77026(713) 566-5100 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2024, Mar 5, 2017 (2 updates tracked since 2017).

About Soumya Patnaik Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUMYA PATNAIK MD (NPI 1023458080) is an individual cardiovascular disease provider in Houston, Texas, licensed in Texas (T2950) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1023458080
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameSOUMYA PATNAIKCredential: MD
Location Address5656 KELLEY STHouston, TX 77026-1967
Mailing Address6431 Fannin StHouston, TX 77030-1501
Phone(713) 566-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 4, 2013
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1023458080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TX · T2950
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD458483 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT204115 (PA)
5656 KELLEY ST, Houston, TX 77026
Open in Google Maps ↗

Secondary Practice Location 1

Location 16410 Fannin Street, Suite 600Houston, TX 77030-5389 · Phone (832) 325-7211 · Fax (713) 512-2245

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Soumya Patnaik Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426454174
PECOS Enrollment IDI20210907000608
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
344 services270 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services54 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
55 services55 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
25 services24 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
18 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW V PIPITONE FNP-C
Nurse Practitioner
5656 KELLEY ST
HOUSTON, TX 77026
Harris County (713) 566-5100
MS. ELIZABETH ANN NEWKIRK P.A.
Physician Assistant
5656 KELLEY ST, ROOM IEC 93006
HOUSTON, TX 77026
Harris County (713) 566-5397
DR. GABRIEL MARCELO AISENBERG M.D.
Internal Medicine
5656 KELLEY ST
HOUSTON, TX 77026
Harris County (713) 566-4550
ESMAEIL PORSA M.D.
Internal Medicine
5656 KELLEY ST
HOUSTON, TX 77026
Harris County (713) 566-5000
STEPHANIE D. DESANDRO P.A.
Physician Assistant
5656 KELLEY ST
HOUSTON, TX 77026
Harris County (713) 566-5775
JESSICA LAUREN MARTIN PA-C
Physician Assistant
5656 KELLEY ST
HOUSTON, TX 77026
Harris County (713) 500-7885
DONNA SHANKS D.O.
Family Medicine
5656 KELLEY ST
HOUSTON, TX 77026
Harris County (713) 566-5000
ROBBY G WESLEY DO
Internal Medicine
5656 KELLEY ST
HOUSTON, TX 77026
Harris County (713) 566-4463

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soumya Patnaik's NPI number?

The NPI number for Soumya Patnaik is 1023458080. It was assigned to this individual provider in the NPPES registry on July 4, 2013.

Where is Soumya Patnaik located?

Soumya Patnaik practices at 5656 Kelley St, Houston, TX 77026. The listed phone number is (713) 566-5100.

What is Soumya Patnaik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Soumya Patnaik enrolled in Medicare?

Yes. Soumya Patnaik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Soumya Patnaik accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Soumya Patnaik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Soumya Patnaik affiliated with any hospitals?

According to CMS data, Soumya Patnaik is affiliated with Memorial Hermann - Texas Medical Center and Harris Health System.

When was this NPI record last updated?

The NPPES record for Soumya Patnaik was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.