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RUCHITA PATEL MD
NPI 1083034771
Family Medicine in Houston, TX

Active since April 21, 2014PECOS EnrolledAccepts Medicare Assignment
68.93/100
CMS Quality Rating
6565 FANNIN ST, HOUSTON, TX 77030(832) 520-8891(281) 699-5200 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2022, Mar 17, 2018, Dec 18, 2017 (3 updates tracked since 2017).

About Ruchita Patel Md NPPES

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

RUCHITA PATEL MD (NPI 1083034771) is an individual family medicine provider in Houston, Texas, licensed in Texas (R4886) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Christus St Frances Cabrini Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1083034771
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRUCHITA PATELCredential: MD
Location Address6565 FANNIN STHouston, TX 77030-2703
Mailing Address1427 Sweet Dumpling DrRichmond, TX 77406-2832 · (281) 317-7010
Phone(832) 520-8891
Fax(281) 699-5200
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 21, 2014
Last NPPES UpdateApril 17, 20233 updates tracked since enumeration
NPPES CertifiedApril 17, 2023
✔ NPI 1083034771 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 · R4886
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.
6565 FANNIN ST, Houston, TX 77030
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Other Identifiers 1

Medicaid376340101TX

Accepted Insurance

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

Ruchita 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 ID1557683174
PECOS Enrollment IDI20171010000972, I20240509003803, I20260306000218
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.
1,130 services257 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.
338 services313 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.
110 services27 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.
85 services78 patients

Hospital Affiliations CMS Care Compare 5

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

Christus St Frances Cabrini Hospital

Acute Care Hospitals · Alexandria, LA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190019
Location3330 Masonic DriveAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Christus Shreveport-Bossier Health System

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190041
Location1453 E Bert Kouns Industrial LoopShreveport, LA 71105 · Caddo County
Emergency services Birthing friendly

Christus Jasper Memorial Hospital

Acute Care Hospitals · Jasper, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450573
Location1275 Marvin Hancock DriveJasper, TX 75951 · Jasper County
Emergency services

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

St Luke's Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670053
Location1317 Lake Pointe ParkwaySugar Land, TX 77478 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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.

68.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.15
Improvement Activities0
Cost83.57

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…
90%192 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$10.20 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers20 claims20 services$49.52 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$28.52 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$21.57 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 20

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

SMAROULA DILIOGLOU PHD
Specialist/Technologist, Pathology
6565 FANNIN ST, MS205
HOUSTON, TX 77030
Harris County (713) 394-6450
MS. PRISCILLA DIAZ RN
Registered Nurse
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 441-2030
HOUSTON METHODIST CARDIOVASCULAR ANESTHESIA
Anesthesiology
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 667-6097
LAN ZHOU MD
Pathology (Anatomic Pathology & Clinical Pathology)
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 394-6450
DR. AMANDA WALTON BASFORD M.D.
Internal Medicine (Nephrology)
6565 FANNIN ST, FONDREN 270
HOUSTON, TX 77030
Harris County (713) 441-0006
MRS. AMY REYES MICLAT RN, MS, CCRN, APRN-B
Nurse Practitioner (Acute Care)
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 441-4999
DR. MAHEEN ADAM WARDAK MD
Anesthesiology
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 441-2194
DR. SHUANG LI M.D.
Hospitalist
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 368-9466

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 Ruchita Patel's NPI number?

The NPI number for Ruchita Patel is 1083034771. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Where is Ruchita Patel located?

Ruchita Patel practices at 6565 Fannin St, Houston, TX 77030. The listed phone number is (832) 520-8891.

What is Ruchita Patel's specialty?

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

Is Ruchita Patel enrolled in Medicare?

Yes. Ruchita 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 Ruchita Patel accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community Health Choice, HMO Louisiana and Oscar Insurance Company list Ruchita 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 Ruchita Patel affiliated with any hospitals?

According to CMS data, Ruchita Patel is affiliated with Christus St Frances Cabrini Hospital, Christus Shreveport-Bossier Health System, Christus Jasper Memorial Hospital, Houston Methodist Sugarland Hospital and St Luke's Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Ruchita Patel was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.