ALLYSON THOMAS PATRONELLA M.D.
NPI 1124028410
Obstetrics & Gynecology in Houston, TX

NPI Status: Active since July 28, 2005

Contact Information

18300 KATY FWY
SUITE 315
HOUSTON, TX
ZIP 77094
Phone: (713) 464-2100
Fax: (281) 392-7911

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  • Individual
  • Female
  • Years of Experience 34
  • Obstetrics & Gynecology
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About ALLYSON PATRONELLA

This page provides the complete NPI Profile along with additional information for Allyson Patronella, a women's health care provider established in Houston, Texas with a medical specialization in Obstetrics & Gynecology and more than 34 years of experience. She graduated from University Of Texas Medical School At San Antonio in 1992. The healthcare provider is registered in the NPI registry with number 1124028410 assigned on July 2005. The practitioner's primary taxonomy code is 207V00000X with license number J4556 (TX). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1124028410
Provider Name
ALLYSON THOMAS PATRONELLA M.D.
Other Name
ALLYSON LYNETTE THOMAS M.D.
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
18300 KATY FWY SUITE 315 HOUSTON, TX 77094
Location Phone
(713) 464-2100
Location Fax
(281) 392-7911
Mailing Address
PO BOX 4581 HOUSTON, TX 77210
Mailing Phone
(713) 464-2100
Mailing Fax
(281) 392-7911
Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year
1992
Is Sole Proprietor?
No
Enumeration Date
07-28-2005
Last Update Date
05-04-2015
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Women's health care providers like Allyson Patronella treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
J4556
License State
TX
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Community Premier Bronze 003 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Bronze 018 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Select Bronze 016 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Select Silver 019 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G52134MEDICARE UPIN (02) 
0962250-01MEDICAID (05)TX 
8U9983OTHER (01)TXBC/BS NUMBER
8F2843MEDICARE PIN (08)TX 

Medicare Participation & PECOS Enrollment Status

Allyson Patronella is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Allyson Patronella is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4880605724

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20060508000322

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cervical or vaginal cancer screening; pelvic and clinical breast examination

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

This service was performed 93 times for 93 patients

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous

A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.

This service was performed 78 times for 78 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 36 times for 20 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

This service was performed 85 times for 85 patients

Urinalysis, manual test

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

This service was performed 138 times for 136 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 77094 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $134.06
  • Minimum New Patient Price $58.24
  • Maximum New Patient Price $176.98
  • Average New Patient Copayment $33.51
  • Minimum New Patient Copayment $14.56
  • Maximum New Patient Copayment $44.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $72.62
  • Minimum Established Patient Price $18.6
  • Maximum Established Patient Price $143.93
  • Average Established Patient Copayment $18.15
  • Minimum Established Patient Copayment $4.65
  • Maximum Established Patient Copayment $35.98

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Allyson Patronella is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MEMORIAL HERMANN - TEXAS MEDICAL CENTER6411 FANNIN
HOUSTON, TX 77030
(713) 704-3700Acute Care Hospitals
MEMORIAL HERMANN MEMORIAL CITY HOSPITAL921 GESSNER
HOUSTON, TX 77024
(713) 242-3000Acute Care Hospitals
MEMORIAL HERMANN KATY HOSPITAL23900 KATY FREEWAY
KATY, TX 77494
(281) 392-1111Acute Care Hospitals
HOUSTON METHODIST WEST HOSPITAL18500 KATY FREEWAY
HOUSTON, TX 77094
(832) 522-1000Acute Care Hospitals

Reviews for ALLYSON THOMAS PATRONELLA M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124028410, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 0 + 2 + 1 + 6 + 4 + 2 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1124028410.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
18300 KATY FWY, SUITE 315
HOUSTON, TX 77094
Obstetrics & Gynecology
18300 KATY FWY, SUITE 315
HOUSTON, TX 77094
Nurse Practitioner (Women's Health)
18300 KATY FWY, SUITE 315
HOUSTON, TX 77094
Psychiatry & Neurology (Neurology)
18300 KATY FWY, STE 405
HOUSTON, TX 77094
Psychiatry & Neurology (Neurology)
18300 KATY FWY, SUITE 405
HOUSTON, TX 77094
Urology
18300 KATY FWY, SUITE 325
HOUSTON, TX 77094
Urology
18300 KATY FWY, SUITE 325
HOUSTON, TX 77094
Physician Assistant (Medical)
18300 KATY FWY, SUITE 615
HOUSTON, TX 77094
Neurological Surgery
18300 KATY FWY, MOB 2, SUITE 135
HOUSTON, TX 77094
Family Medicine
18300 KATY FWY, SUITE 615
HOUSTON, TX 77094
Otolaryngology
18300 KATY FWY, SUITE 305
HOUSTON, TX 77094
Otolaryngology
18300 KATY FWY, SUITE 305
HOUSTON, TX 77094
Obstetrics & Gynecology
18300 KATY FWY, STE 205
HOUSTON, TX 77094

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124028410, enumerated as an "individual" on July 28, 2005.

The provider is located at 18300 KATY FWY SUITE 315 HOUSTON, TX 77094 and the phone number is (713) 464-2100.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Community Health Choice, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.

Allyson Patronella is affiliated with: MEMORIAL HERMANN - TEXAS MEDICAL CENTER, MEMORIAL HERMANN MEMORIAL CITY HOSPITAL, MEMORIAL HERMANN KATY HOSPITAL and HOUSTON METHODIST WEST HOSPITAL.