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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: August 16, 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 is a graduate of Other (2004).

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
Phone(405) 713-7403
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
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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, and ordering and referring status from the CMS PECOS system.

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.

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.

MOLLY LYNN COLVARD DNP
Nurse Practitioner (Acute Care)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (918) 698-4318
NORTHWEST ANESTHESIA PC
Anesthesiology
3300 NW EXPRESSWAY, 2ND FLOOR, DEPARTMENT OF ANESTHESIOLOGY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 951-2815
MRS. SARAH E HART PA-C
Physician Assistant
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-3349
ANGELA M SCHRAG ARNP
Nurse Practitioner (Neonatal)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-3393
MICHAEL LOUIS BRUCE
Physical Therapy Assistant
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 636-7087
MEGAN V MCFARLAND APRN
Nurse Practitioner (Pediatrics, Critical Care)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-4100
MYKENZIE RYAN MORRISON BSN-RN
Registered Nurse (Emergency)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-3011
JADE ELAINE HOGAN
Registered Nurse
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Oklahoma County (530) 440-4187

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.

What insurance does Bilal Piracha 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 9 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 4 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.