DR. KIRANCHANDRA MAGANLAL PATEL MD
NPI 1053416453
Family Medicine in Houston, TX

Q: What is Kiranchandra Patel's NPI number?

The NPI number for Kiranchandra Patel is 1053416453. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Q: What is Kiranchandra Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment

15419 ROCKY OAK CT, HOUSTON, TX 77059(713) 436-9800(713) 436-5551 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Kiranchandra Maganlal Patel Md NPPES

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

DR. KIRANCHANDRA MAGANLAL PATEL MD (NPI 1053416453) is an individual family medicine provider in Houston, Texas, licensed in Texas (K6680) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Pearland, and is a graduate of Fort Wayne College Of Medicine - Nlg (1995).

NPPES Registry Identity

NPI1053416453

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KIRANCHANDRA MAGANLAL PATELCredential: MD

Location Address15419 ROCKY OAK CTHouston, TX 77059-3128

Mailing Address9235 Katy Fwy, Ste 400Houston, TX 77024-1507 · (713) 461-2915 · Fax (713) 932-0437

Phone(713) 436-9800

Fax(713) 436-5551

Sole ProprietorNo

Medical School CMSFort Wayne College Of Medicine - NlgGraduated 1995

Enumeration DateSeptember 13, 2006

Last NPPES UpdateSeptember 8, 2020

NPPES CertifiedSeptember 8, 2020

✔ NPI 1053416453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · K6680

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

15419 ROCKY OAK CT, Houston, TX 77059

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Other Identifiers 1

Medicaid043657804TX

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kiranchandra Maganlal Patel 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 ID8527191246

PECOS Enrollment IDI20100802000949

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.

Medicare Billing Reassignment

Medicare enrollment records show Kiranchandra Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Villagemd Of Southeast Texas, PA

27 mi

Family Medicine

9055 KATY FWY STE 200
Houston, TX 77024

Reassigned Medicare billing, Texas enrollment
207 clinicians in this Medicare group

NPI 1841643327 (346) 646-4954

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

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.

70 services41 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

60 services43 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

57 services37 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

48 services31 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

45 services37 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

40 services24 patients

Hepatitis c antibody measurement 86803

Hepatitis C antibody measurement is a blood test to check if you have been exposed to the Hepatitis C virus. This virus affects your liver. If the test is positive, it means you have had the virus at some point. Additional tests are needed to determine if the virus is currently active.

32 services32 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

30 services14 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

30 services14 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

20 services20 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

19 services13 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

14 services11 patients

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare Pearland

Acute Care Hospitals · Pearland, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number670106

Location11100 Shadow Creek ParkwayPearland, TX 77584 · Brazoria County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77059 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

THE PEARLAND CLINIC P.A.

Family Medicine

15419 ROCKY OAK CT
HOUSTON, TX 77059

Harris County (713) 436-9800

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 Kiranchandra Patel's NPI number?

The NPI number for Kiranchandra Patel is 1053416453. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Kiranchandra Patel located?

Kiranchandra Patel practices at 15419 Rocky Oak Ct, Houston, TX 77059. The listed phone number is (713) 436-9800.

What is Kiranchandra Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kiranchandra Patel enrolled in Medicare?

Yes. Kiranchandra Patel 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.

Which organization bills Medicare for Kiranchandra Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiranchandra Patel reassigns Medicare benefits to Villagemd Of Southeast Texas, PA (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kiranchandra Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kiranchandra Patel accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Kiranchandra Patel 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 Kiranchandra Patel affiliated with any hospitals?

According to CMS data, Kiranchandra Patel is affiliated with Hca Houston Healthcare Pearland.

When was this NPI record last updated?

The NPPES record for Kiranchandra Patel was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.