RACHNA PATEL
NPI 1144647264
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Plano, TX

Active since March 26, 2014PECOS EnrolledAccepts Medicare Assignment
4032 MCDERMOTT RD STE 100, PLANO, TX 75024(972) 760-9000 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 14, 2023, Jun 21, 2023, Jul 31, 2019 (3 updates tracked since 2019).

About Rachna Patel NPPES

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

RACHNA PATEL (NPI 1144647264) is an individual neurology with special qualifications in child neurology provider in Plano, Texas, licensed in Texas (R9531) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital Muskogee, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1144647264
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameRACHNA PATEL
Location Address4032 MCDERMOTT RD STE 100Plano, TX 75024
Mailing Address4032 Mcdermott Rd Ste 100Plano, TX 75024-7739 · (972) 760-9000
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2014
Enumeration DateMarch 26, 2014
Last NPPES UpdateJuly 14, 20233 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1144647264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in TX · R9531✔ Licensed in IN · 01090357A
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
4032 MCDERMOTT RD STE 100, Plano, TX 75024

Secondary Practice Location 1

Location 16701 Fannin St Ste 1250Houston, TX 77030-2612 · Phone (832) 822-1779

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachna Patel 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 ID1153650643
PECOS Enrollment IDI20190909002609, I20221118002566, I20230501002511
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.

Medicare Billing Reassignments

9

Medicare enrollment records show Rachna Patel reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
2012 JUSTIN RD STE 200-A
Highland Village, TX 75077
  • Reassigned Medicare billing, Texas and Louisiana enrollments
  • Also billed through NPI 1174391593 (Louisiana)
  • 4 clinicians in this Medicare group
Medical Specialty
1401 E VAN BUREN AVE
Mcalester, OK 74501
  • Reassigned Medicare billing, Oklahoma enrollment
  • Medicare enrollment name: Warren Clinic Inc
  • 1,144 clinicians in this Medicare group
Multi-Specialty
777 HEMLOCK ST
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 483 clinicians in this Medicare group
Family Medicine
9660 WICKER AVE
St John, IN 46373
  • Reassigned Medicare billing, Indiana enrollment
  • 607 clinicians in this Medicare group
Anesthesiology
2 PARK AVE STE 2039
New York, NY 10016
  • Reassigned Medicare billing, Texas enrollment
  • 62 clinicians in this Medicare group
Critical Care Medicine
1420 ROCKY RIDGE DR STE 300
Roseville, CA 95661
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
Critical Care Medicine
1420 ROCKY RIDGE DR STE 300
Roseville, CA 95661
  • Reassigned Medicare billing, Indiana, Missouri, Oklahoma, Tennessee and Texas enrollments
  • 11 clinicians in this Medicare group
Internal Medicine
15533 E BROADWAY AVE
Spokane Valley, WA 99037
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
Orthopaedic Surgery
111 S 11TH AVE STE 320
Yakima, WA 98902
  • Reassigned Medicare billing, Washington enrollment
  • 565 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

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

Saint Francis Hospital Muskogee

Acute Care Hospitals · Muskogee, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370025
Location300 Rockefeller DriveMuskogee, OK 74401 · Muskogee County
Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital South, LLC

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370218
Location10501 East 91st Street SouthTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75024 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.

Other Providers at the Same Location NPPES 5

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

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
4032 MCDERMOTT RD STE 100
PLANO, TX 75024
Physician Assistant
4032 MCDERMOTT RD STE 100
PLANO, TX 75024
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
4032 MCDERMOTT RD STE 100
PLANO, TX 75024
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
4032 MCDERMOTT RD STE 100
PLANO, TX 75024
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
4032 MCDERMOTT RD STE 100
PLANO, TX 75024

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 Rachna Patel's NPI number?

The NPI number for Rachna Patel is 1144647264. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Rachna Patel located?

Rachna Patel practices at 4032 Mcdermott Rd Ste 100, Plano, TX 75024. The listed phone number is (972) 760-9000.

What is Rachna Patel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Rachna Patel enrolled in Medicare?

Yes. Rachna Patel 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.

Which organizations bill Medicare for Rachna Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachna Patel reassigns Medicare benefits to 9 organizations: Integris Neuro Group LLC (Highland Village, TX), Warren Clinics Inc (Mcalester, OK), Health Services Of Central Georgia, Inc (Macon, GA), Community Care Network Inc (St John, IN), Ccmma Tx PLLC (New York, NY) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachna Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachna Patel 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 12 other insurers list Rachna Patel 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 Rachna Patel affiliated with any hospitals?

According to CMS data, Rachna Patel is affiliated with Saint Francis Hospital Muskogee, Saint Francis Hospital, Inc, Saint Francis Hospital South, LLC and Yakima Valley Memorial.

When was this NPI record last updated?

The NPPES record for Rachna Patel was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.