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DR. RISHI SHYAM HINGORANI DO
NPI 1063511608
Family Medicine in Houston, TX

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
1125 CYPRESS STATION DR, STE B-4, HOUSTON, TX 77090(281) 440-1400(281) 245-0633 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rishi Shyam Hingorani Do NPPES

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

DR. RISHI SHYAM HINGORANI DO (NPI 1063511608) is an individual family medicine provider in Houston, Texas, licensed in Texas (L7754) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Northwest, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2001).

NPPES Registry Identity

NPI1063511608
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RISHI SHYAM HINGORANICredential: DO
Location Address1125 CYPRESS STATION DR, STE B-4Houston, TX 77090-3054
Mailing Address1125 Cypress Station Dr, Ste B-4Houston, TX 77090-2505 · (281) 440-1400 · Fax (281) 245-0633
Phone(281) 440-1400
Fax(281) 245-0633
Sole ProprietorYes
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2001
Enumeration DateSeptember 21, 2006
Last NPPES UpdateFebruary 7, 2017
✔ NPI 1063511608 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 · L7754
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.
1125 CYPRESS STATION DR, Houston, TX 77090
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Other Identifiers 4

Medicare PIN8F4560TX
Medicare UPINI17068TX
Medicaid168656003TX
Other8X1320TX · Blue Cross/blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice.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

Dr. Rishi Shyam Hingorani Do 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 ID6800865684
PECOS Enrollment IDI20040928001249
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
120 services63 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.
85 services43 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.
44 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Houston Healthcare Northwest

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450638
Location710 Cypress Creek ParkwayHouston, TX 77090 · Harris County
Emergency services Birthing friendly

Tops Surgical Specialty Hospital

Acute Care Hospitals · Houston, TX
OwnershipPhysician
CMS Certification Number450774
Location17080 Red Oak DriveHouston, TX 77090 · Harris County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77090 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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
69%59 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
49%584 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%117 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
71%77 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%84 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
88%117 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%117 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier16 claims16 services$24.36 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier14 claims168 services$2.14 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier16 claims16 services$7.96 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier13 claims312 services$2.50 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims600 services$0.23 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier19 claims227 services$20.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

PADMAVATI RAJENDRA KUMASHI MD
Internal Medicine (Infectious Disease)
1125 CYPRESS STATION DR, G1
HOUSTON, TX 77090
Harris County (281) 587-8777
VETRXMEDS INC
Pharmacy (Community/Retail Pharmacy)
1125 CYPRESS STATION DR, STE B3
HOUSTON, TX 77090
Harris County (832) 286-1341
RISHI HINGORANI, D.O. P.A.
Family Medicine
1125 CYPRESS STATION DR, SUITE B 4
HOUSTON, TX 77090
Harris County (281) 440-1400
ESSAM A GIRGAWY MD
Internal Medicine (Infectious Disease)
1125 CYPRESS STATION DR, SUITE G1
HOUSTON, TX 77090
Harris County (281) 587-8777
CYPRESS STATION SLEEP CENTER INC
Clinic/Center (Sleep Disorder Diagnostic)
1125 CYPRESS STATION DR, SUITE E
HOUSTON, TX 77090
Harris County (281) 537-6300
MR. JIMMIE C. WHITLEY ED.D.
Psychologist (Clinical)
1125 CYPRESS STATION DR, BUILDING B-1
HOUSTON, TX 77090
Harris County (281) 537-7207
MOHSIN K BAJWA MD
Internal Medicine (Pulmonary Disease)
1125 CYPRESS STATION DR, SUITE E
HOUSTON, TX 77090
Harris County (281) 537-6300
SALAH Y GHOBRIAL MD
Internal Medicine (Pulmonary Disease)
1125 CYPRESS STATION DR, SUITE E
HOUSTON, TX 77090
Harris County (281) 537-6300

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 Rishi Hingorani's NPI number?

The NPI number for Rishi Hingorani is 1063511608. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Rishi Hingorani located?

Rishi Hingorani practices at 1125 Cypress Station Dr Ste B-4, Houston, TX 77090. The listed phone number is (281) 440-1400.

What is Rishi Hingorani's specialty?

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

Is Rishi Hingorani enrolled in Medicare?

Yes. Rishi Hingorani 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 Rishi Hingorani accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Rishi Hingorani 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 Rishi Hingorani affiliated with any hospitals?

According to CMS data, Rishi Hingorani is affiliated with Hca Houston Healthcare Northwest and Tops Surgical Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Rishi Hingorani was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.