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YASHASH PATHAK M.D.
NPI 1134370786
Hospitalist in Sugar Land, TX

Active since October 01, 2008PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
16605 SOUTHWEST FWY, SUITE 175, SUGAR LAND, TX 77479(713) 777-5334(713) 429-5207 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yashash Pathak M.d. NPPES

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

YASHASH PATHAK M.D. (NPI 1134370786) is an individual hospitalist provider in Sugar Land, Texas, licensed in Texas (P9688) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of University Of South Florida College Of Medicine (2008).

NPPES Registry Identity

NPI1134370786
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameYASHASH PATHAKCredential: M.D.
Location Address16605 SOUTHWEST FWY, SUITE 175Sugar Land, TX 77479-0003
Mailing Address6411 Fannin StHouston, TX 77030-1501
Phone(713) 777-5334
Fax(713) 429-5207
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2008
Enumeration DateOctober 1, 2008
Last NPPES UpdateSeptember 11, 2024
NPPES CertifiedSeptember 11, 2024
✔ NPI 1134370786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · P9688
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License P9688 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
16605 SOUTHWEST FWY, Sugar Land, TX 77479
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Other Identifiers 4

Medicaid342257801TX
Other367026YT8BTX · Medicare
Other8EV375TX · Bcbs Tx
OtherP01362982TX · Rr Medicare

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

Yashash Pathak 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 ID6507037983
PECOS Enrollment IDI20141006000633
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

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.

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.
45 services45 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
1 supplier16 claims16 services$14.21 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
2 suppliers17 claims17 services$63.44 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.

DR. TOBY C YALTHO MD
Psychiatry & Neurology (Neurology)
16605 SOUTHWEST FWY, SUITE 600
SUGAR LAND, TX 77479
Fort Bend County (281) 494-6387
JOHN JUNGSIK PARK M.D.
Neurological Surgery
16605 SOUTHWEST FWY, SUITE 285
SUGAR LAND, TX 77479
Fort Bend County (281) 313-0031
ULISES BALTAZAR MD
Surgery (Vascular Surgery)
16605 SOUTHWEST FWY, SUITE 505
SUGAR LAND, TX 77479
Fort Bend County (281) 240-8400
DR. IRFAN LALANI M.D.
Psychiatry & Neurology (Neurology)
16605 SOUTHWEST FWY, MEDICAL OFFICE BUILDING 3 SUITE 320
SUGAR LAND, TX 77479
Fort Bend County (281) 265-0225
TASNEEM BUDHWANI
Nurse Practitioner (Family)
16605 SOUTHWEST FWY
SUGAR LAND, TX 77479
Fort Bend County (713) 777-5334
ASMA FAZAL LAKHVA M.D.
Hospitalist
16605 SOUTHWEST FWY, SUITE 175
SUGAR LAND, TX 77479
Fort Bend County (713) 777-5334
TIMOTHY E OPPERMANN MD
Surgery
16605 SOUTHWEST FWY, SUITE 450
SUGAR LAND, TX 77479
Fort Bend County (281) 275-0860
MRS. ESTHER HARI KUMAR NURSE PRACTITIONER
Nurse Practitioner (Acute Care)
16605 SOUTHWEST FWY, MEDICAL OFFICE BUILDING 3, SUITE 150
SUGAR LAND, TX 77479
Fort Bend County (281) 275-0771

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 Yashash Pathak's NPI number?

The NPI number for Yashash Pathak is 1134370786. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Where is Yashash Pathak located?

Yashash Pathak practices at 16605 Southwest Fwy Suite 175, Sugar Land, TX 77479. The listed phone number is (713) 777-5334.

What is Yashash Pathak's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Yashash Pathak enrolled in Medicare?

Yes. Yashash Pathak 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 Yashash Pathak 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 5 other insurers list Yashash Pathak 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 Yashash Pathak affiliated with any hospitals?

According to CMS data, Yashash Pathak is affiliated with Memorial Hermann - Texas Medical Center and Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Yashash Pathak was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.