DR. NIRAV CHANDRAKANTBHAI THOSANI MD
NPI 1134472483
Internal Medicine - Gastroenterology in Houston, TX

Q: What is Nirav Thosani's NPI number?

The NPI number for Nirav Thosani is 1134472483. It was assigned to this individual provider in the NPPES registry on October 24, 2012.

Q: What is Nirav Thosani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Nirav Thosani was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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 October 24, 2012PECOS EnrolledAccepts Medicare Assignment

82.38/100

CMS Quality Rating

6400 FANNIN ST, SUITE 1400, HOUSTON, TX 77030(713) 704-6500 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Nirav Chandrakantbhai Thosani Md NPPES

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

DR. NIRAV CHANDRAKANTBHAI THOSANI MD (NPI 1134472483) is an individual gastroenterology provider in Houston, Texas, licensed in Texas (P9472) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of University Of Texas Medical School At Houston (2013).

NPPES Registry Identity

NPI1134472483

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. NIRAV CHANDRAKANTBHAI THOSANICredential: MD

Location Address6400 FANNIN ST, SUITE 1400Houston, TX 77030-1521

Mailing Address6431 Fannin St, Msb 5.019Houston, TX 77030-1501 · (713) 500-6677

Phone(713) 704-6500

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2013

Enumeration DateOctober 24, 2012

Last NPPES UpdateOctober 10, 2016

✔ NPI 1134472483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TX · P9472

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

6400 FANNIN ST, Houston, TX 77030

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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

Dr. Nirav Chandrakantbhai Thosani Md 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 ID8123261070

PECOS Enrollment IDI20140620000022

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 16

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.

129 services96 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259

This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.

52 services34 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

38 services38 patients

Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43270

This procedure involves using a flexible tool called an endoscope to identify and remove abnormal growths or polyps in the esophagus, stomach, or upper small bowel. It's a safe way to prevent these growths from causing health issues.

33 services14 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

28 services23 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259

27 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43270

23 services13 patients

Exam of common bile and/or pancreatic duct using a flexible endoscope 43273

This procedure, known as an ERCP, involves a flexible tube with a camera, called an endoscope, being gently passed down your throat to examine your common bile or pancreatic duct. It helps doctors diagnose and treat conditions affecting these areas.

21 services15 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

21 services20 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

19 services19 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

19 services19 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

16 services15 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.

16 services16 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

Biopsy of large bowel using a flexible endoscope 45380

12 services12 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

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450848

Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

82.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.23

Promoting Interoperability

100

Improvement Activities

Cost

58.5

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.

TEXAS MEDICAL CENTER DENTAL

Dentist (General Practice)

6400 FANNIN ST, SUITE 2040
HOUSTON, TX 77030

Harris County (713) 795-0608

SCOTT JAMES RYAN MD

Surgery (Vascular Surgery)

6400 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 486-5100

KRISTIN WHANGER PACINI PA

Physician Assistant (Surgical)

6400 FANNIN ST, 1700
HOUSTON, TX 77030

Harris County (713) 486-1800

DR. RANA OMAR AFIFI MD

Surgery (Vascular Surgery)

6400 FANNIN ST, SUITE NUMBER 2850
HOUSTON, TX 77030

Harris County (713) 486-5100

DR. MICHAEL S SWEENEY M.D.,

Thoracic Surgery (Cardiothoracic Vascular Surgery)

6400 FANNIN ST, STE 3000
HOUSTON, TX 77030

Harris County (713) 790-0841

BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF ORTHOPEDIC SURGERY

Orthopaedic Surgery

6400 FANNIN ST, SUITE 1620
HOUSTON, TX 77030

Harris County (713) 740-2200

TARA L WEGRYN MD PA

Specialist

6400 FANNIN ST, SUITE 2295
HOUSTON, TX 77030

Harris County (713) 791-9778

JORDANNA ESPANOLA MSN, RN, FNP-C

Nurse Practitioner (Family)

6400 FANNIN ST, SUITE 1400
HOUSTON, TX 77030

Harris County (281) 914-9756

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 Nirav Thosani's NPI number?

The NPI number for Nirav Thosani is 1134472483. It was assigned to this individual provider in the NPPES registry on October 24, 2012.

Where is Nirav Thosani located?

Nirav Thosani practices at 6400 Fannin St Suite 1400, Houston, TX 77030. The listed phone number is (713) 704-6500.

What is Nirav Thosani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nirav Thosani enrolled in Medicare?

Yes. Nirav Thosani 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 Nirav Thosani 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 Nirav Thosani 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 Nirav Thosani affiliated with any hospitals?

According to CMS data, Nirav Thosani is affiliated with Memorial Hermann - Texas Medical Center and Memorial Hermann Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Nirav Thosani was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.