DR. BINTA S PATEL M.D.
NPI 1063827079
Family Medicine in San Antonio, TX

Active since June 27, 2014PECOS EnrolledAccepts Medicare Assignment
111 DALLAS ST, SAN ANTONIO, TX 78205(253) 682-1710 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Jul 3, 2017 (2 updates tracked since 2017).

About Dr. Binta S Patel M.d. NPPES

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

DR. BINTA S PATEL M.D. (NPI 1063827079) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (R3934) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and maintains a secondary practice location in Scranton.

NPPES Registry Identity

NPI1063827079
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BINTA S PATELCredential: M.D.
Location Address111 DALLAS STSan Antonio, TX 78205-1201
Mailing Address111 Dallas StSan Antonio, TX 78205 · (210) 297-7011
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 27, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1063827079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · R3934 Licensed in PA · MT207620
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.
111 DALLAS ST, San Antonio, TX 78205

Secondary Practice Location 1

Location 1501 Madison AveScranton, PA 18510-2401 · Phone (570) 343-2383

Accepted 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. Binta S Patel M.d. 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 ID4183927098
PECOS Enrollment IDI20170926003127
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 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.
150 services57 patients
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 services60 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
52 services50 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.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Baptist Neighborhood Hospital Thousand Oaks

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670078
Location16088 San PedroSan Antonio, TX 78232 · Bexar County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78205 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%92 patients4/55-star benchmark: 100%
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.

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.

Radiology (Diagnostic Radiology)
111 DALLAS ST
SAN ANTONIO, TX 78205
Psychiatry & Neurology (Psychiatry)
111 DALLAS ST
SAN ANTONIO, TX 78205
Internal Medicine
111 DALLAS ST
SAN ANTONIO, TX 78205
Physical Medicine & Rehabilitation
111 DALLAS ST
SAN ANTONIO, TX 78205
Occupational Therapist
111 DALLAS ST
SAN ANTONIO, TX 78205
Nurse Practitioner (Family)
111 DALLAS ST
SAN ANTONIO, TX 78205
Emergency Medicine
111 DALLAS ST
SAN ANTONIO, TX 78205
Long Term Care Hospital
111 DALLAS ST, 4TH FL
SAN ANTONIO, TX 78205

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 Binta Patel's NPI number?

The NPI number for Binta Patel is 1063827079. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Where is Binta Patel located?

Binta Patel practices at 111 Dallas St, San Antonio, TX 78205. The listed phone number is (253) 682-1710.

What is Binta Patel's specialty?

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

Is Binta Patel enrolled in Medicare?

Yes. Binta 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.

What insurance does Binta Patel accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Binta 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 Binta Patel affiliated with any hospitals?

According to CMS data, Binta Patel is affiliated with Baptist Medical Center and Baptist Neighborhood Hospital Thousand Oaks.

When was this NPI record last updated?

The NPPES record for Binta Patel was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.