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DR. HANISH DILIPKUMAR PATEL M.D.
NPI 1073044061
Internal Medicine - Pulmonary Disease in Roanoke, VA

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
1906 BELLEVIEW AVE, CARILION ROANOKE MEMORIAL HOSPITAL, ROANOKE, VA 24014(540) 981-7000 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Hanish Dilipkumar Patel M.d. NPPES

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

DR. HANISH DILIPKUMAR PATEL M.D. (NPI 1073044061) is an individual pulmonary disease provider in Roanoke, Virginia, licensed in Texas (T7681) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1073044061
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. HANISH DILIPKUMAR PATELCredential: M.D.
Location Address1906 BELLEVIEW AVE, CARILION ROANOKE MEMORIAL HOSPITALRoanoke, VA 24014
Mailing Address6403 Larkridge LnSpring, TX 77379-2705 · (832) 797-9091 · Fax (281) 440-7895
Phone(540) 981-7000
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 22, 2017
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1073044061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · T7681
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1906 BELLEVIEW AVE, Roanoke, VA 24014
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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. Hanish Dilipkumar 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 ID5799058616
PECOS Enrollment IDI20230525002813
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 Reassignments

3

Medicare enrollment records show Hanish Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wael Asi MD PA
1,016 mi
Critical Care Medicine
1111 MEDICAL PLAZA DR, SUITE 250
The Woodlands, TX 77380
  • Reassigned Medicare billing, Texas enrollment
  • 72 clinicians in this Medicare group
NPI 1851342794 (281) 296-8788
North Houston Hospitalists PA
1,016 mi
Internal Medicine
8845 SIX PINES DR STE 202
Shenandoah, TX 77380
  • Reassigned Medicare billing, Texas enrollment
  • 14 clinicians in this Medicare group
NPI 1225089832 (281) 296-8788
Privia Medical Group Gulf Coast, PLLC
1,032 mi
Obstetrics & Gynecology
7900 FANNIN ST STE 4000
Houston, TX 77054
  • Reassigned Medicare billing, Texas enrollment
  • 497 clinicians in this Medicare group
NPI 1578969465 (713) 512-7500

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 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.
84 services49 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
58 services46 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.
38 services38 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Chi St Lukes Health Memorial Lufkin

Acute Care Hospitals · Lufkin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450211
Location1201 West Frank StreetLufkin, TX 75901 · Angelina County
Emergency services Birthing friendly

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

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

St Luke's Hospital At The Vintage

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670075
Location20171 Chasewood Park DriveHouston, TX 77070 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24014 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 17

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

DR. ALFRED T SHILLING MD
Radiology (Diagnostic Radiology)
1906 BELLEVIEW AVE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
ALEEM TARIQ MOHAMED
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
MS. NAMRA PASHA
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
ELSIE MAE NICELY GRIFFIN PA
Physician Assistant
1906 BELLEVIEW AVE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. DILDRA WILLIAMS MD
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
MARIE SHOCKLEY CREECH PA
Physician Assistant
1906 BELLEVIEW AVE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. ELLIKA RASOOLY M.D.
Pediatrics
1906 BELLEVIEW AVE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
JESSICA DANIELLE MATHENY NP-C
Nurse Practitioner (Family)
1906 BELLEVIEW AVE
ROANOKE, VA 24014
Roanoke City (540) 981-7083

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 Hanish Patel's NPI number?

The NPI number for Hanish Patel is 1073044061. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Hanish Patel located?

Hanish Patel practices at 1906 Belleview Ave Carilion Roanoke Memorial Hospital, Roanoke, VA 24014. The listed phone number is (540) 981-7000.

What is Hanish Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Hanish Patel enrolled in Medicare?

Yes. Hanish 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 organizations bill Medicare for Hanish Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hanish Patel reassigns Medicare benefits to 3 organizations: Wael Asi MD PA (The Woodlands, TX), North Houston Hospitalists PA (Shenandoah, TX) and Privia Medical Group Gulf Coast, PLLC (Houston, TX). Each 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 Hanish Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hanish 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 Hanish 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 Hanish Patel affiliated with any hospitals?

According to CMS data, Hanish Patel is affiliated with Memorial Hermann Hospital System, Chi St Lukes Health Memorial Lufkin, Hca Houston Healthcare Northwest, St Luke's The Woodlands Hospital and St Luke's Hospital At The Vintage.

When was this NPI record last updated?

The NPPES record for Hanish Patel was last updated on October 15, 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.