BILAL HUSSAIN PIRACHA M.D
NPI 1083920888
Family Medicine in Oklahoma City, OK

Active since August 31, 2010PECOS EnrolledAccepts Medicare Assignment
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112(405) 713-7403(405) 713-2794 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 10, 2026, Mar 11, 2021, Nov 13, 2018 and 2 more (5 updates tracked since 2017).

About Bilal Hussain Piracha M.d NPPES

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

BILAL HUSSAIN PIRACHA M.D (NPI 1083920888) is an individual family medicine provider in Oklahoma City, Oklahoma, licensed in Texas (R6459) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Athens Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083920888
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBILAL HUSSAIN PIRACHACredential: M.D
Location Address3300 NW EXPRESSWAYOklahoma City, OK 73112-4418
Mailing Address21175 Tomball Pkwy # 504Houston, TX 77070-1655 · (214) 506-1136 · Fax (214) 705-3786
Fax(405) 713-2794
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 31, 2010
Last NPPES UpdateApril 10, 20265 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1083920888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · R6459
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD35917 (AL), R6459 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License 29802 (OK)
3300 NW EXPRESSWAY, Oklahoma City, OK 73112

Secondary Practice Locations 2

Location 12000 S Palestine StAthens, TX 75751-5610 · Phone (903) 676-1000
Location 2100 Municipal Dr Ste 300Gun Barrel City, TX 75156-3703 · Phone (903) 713-1500

Accepted 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

Bilal Hussain Piracha 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 ID6901040872
PECOS Enrollment IDI20180509002080
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

16

Medicare enrollment records show Bilal Piracha reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1900 HOSPITAL BLVD
Gainesville, TX 76240
  • Reassigned Medicare billing, Texas enrollment
  • 1,193 clinicians in this Medicare group
General Practice
3909 W PARKER RD
Plano, TX 75023
  • Reassigned Medicare billing, Texas enrollment
  • 49 clinicians in this Medicare group
Multi-Specialty
809 S MACARTHUR BLVD STE 400 RM 1
Coppell, TX 75019
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
Urgent Care
809 S MACARTHUR BLVD STE 400
Coppell, TX 75019
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
Emergency Medicine
9440 POPPY DR
Dallas, TX 75218
  • Reassigned Medicare billing, Texas enrollment
  • 41 clinicians in this Medicare group
Emergency Medicine
101 CIRCLE DR
Hillsboro, TX 76645
  • Reassigned Medicare billing, Texas enrollment
  • 127 clinicians in this Medicare group
Critical Access
101 CIRCLE DR
Hillsboro, TX 76645
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
Emergency Medicine
125 NEWMAN ST
Fairfield, TX 75840
  • Reassigned Medicare billing, Texas enrollment
  • 76 clinicians in this Medicare group
Internal Medicine
125 NEWMAN ST
Fairfield, TX 75840
  • Reassigned Medicare billing, Texas enrollment
  • 68 clinicians in this Medicare group
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 clinicians in this Medicare group

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.

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.
42 services21 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
32 services32 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.
31 services15 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450389
Location2000 South Palestine StAthens, TX 75751 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73112 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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…
100%27 patients5/55-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.

Nurse Practitioner (Acute Care)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Anesthesiology
3300 NW EXPRESSWAY, 2ND FLOOR, DEPARTMENT OF ANESTHESIOLOGY
OKLAHOMA CITY, OK 73112
Physician Assistant
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Nurse Practitioner (Neonatal)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Physical Therapy Assistant
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Nurse Practitioner (Pediatrics, Critical Care)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Registered Nurse (Emergency)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Registered Nurse
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112

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 Bilal Piracha's NPI number?

The NPI number for Bilal Piracha is 1083920888. It was assigned to this individual provider in the NPPES registry on August 31, 2010.

Where is Bilal Piracha located?

Bilal Piracha practices at 3300 NW Expressway, Oklahoma City, OK 73112. The listed phone number is (405) 713-7403.

What is Bilal Piracha's specialty?

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

Is Bilal Piracha enrolled in Medicare?

Yes. Bilal Piracha 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 Bilal Piracha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bilal Piracha reassigns Medicare benefits to 16 organizations: Acs Primary Care Physicians Southwest, PA (Gainesville, TX), Wellness & Care Group Of Texas, Inc. (Plano, TX), America First Primary Care PLLC (Coppell, TX), America First Urgent Care PLLC (Coppell, TX), City Hospital Physician Group Inc (Dallas, TX) and 11 more organizations, listed in the Medicare section above. 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 Bilal Piracha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bilal Piracha accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Bilal Piracha 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 Bilal Piracha affiliated with any hospitals?

According to CMS data, Bilal Piracha is affiliated with Ut Health East Texas Athens Hospital.

When was this NPI record last updated?

The NPPES record for Bilal Piracha was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.