DISHA N PATEL
NPI 1124818836
Nurse Practitioner - Pediatrics in San Antonio, TX

Q: What is Disha Patel's NPI number?

The NPI number for Disha Patel is 1124818836. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Q: What is Disha Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Disha Patel was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 07, 2025PECOS Enrolled

333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-8829 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Disha N Patel NPPES

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

DISHA N PATEL (NPI 1124818836) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (1215534) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Beaumont, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124818836

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameDISHA N PATEL

Location Address333 N SANTA ROSASan Antonio, TX 78207-3108

Mailing Address7960 Riviera CtBeaumont, TX 77707-5477 · (409) 651-4067

Phone(210) 704-8829

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 7, 2025

Last NPPES UpdateJune 11, 2026

NPPES CertifiedJune 11, 2026

✔ NPI 1124818836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TX · 1215534

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License RN2390986 (MA)

333 N SANTA ROSA, San Antonio, TX 78207

Open in Google Maps ↗

Secondary Practice Location 1

Location 17960 Riviera CtBeaumont, TX 77707-5477 · Phone (409) 651-4067

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Disha N Patel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335620905

PECOS Enrollment IDI20260221000306

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78207 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 20

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

LATHA PRASANNAN MD

Pediatrics (Pediatric Hematology-Oncology)