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SOPHIA LOREN PATEL NP
NPI 1164154589
Nurse Practitioner in Midland, TX

Active since June 24, 2022PECOS Enrolled
82/100
CMS Quality Rating
3403 ANDREWS HWY STE 300, MIDLAND, TX 79703(432) 522-1234 Get Directions Write a Review

NPPES record last updated: November 16, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Sophia Loren Patel Np NPPES

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

SOPHIA LOREN PATEL NP (NPI 1164154589) is an individual nurse practitioner in Midland, Texas, licensed in Texas (1203383) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gilbert.

NPPES Registry Identity

NPI1164154589
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSOPHIA LOREN PATELCredential: NP
Location Address3403 ANDREWS HWY STE 300Midland, TX 79703-5132
Mailing Address3403 Andrews Hwy Ste 300Midland, TX 79703-5132 · (432) 522-1234
Phone(432) 522-1234
Sole ProprietorYes
Enumeration DateJune 24, 2022
Last NPPES UpdateNovember 16, 2025
NPPES CertifiedNovember 16, 2025
✔ NPI 1164154589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1203383
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 276693 (AZ)
3403 ANDREWS HWY STE 300, Midland, TX 79703
Open in Google Maps ↗

Secondary Practice Location 1

Location 11580 N Fiesta Blvd Ste 100Gilbert, AZ 85233-1032 · Phone (480) 835-6100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Loren Patel Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Sophia Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tri-City Cardiology Consultants, PC
565 mi
Cardiovascular Disease
6750 E BAYWOOD AVE, SUITE 301
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 61 clinicians in this Medicare group
NPI 1144288416 (480) 835-6100

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

Areas of Expertise CMS Part B claims 2

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.

Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421
This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.
24 services21 patients
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic G2012
A virtual check-in is a short online or phone consultation with your healthcare provider. It's for established patients and isn't related to a recent appointment. It's a convenient way to discuss health concerns without needing to visit the office in person.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79703 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.

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.

82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability98
Improvement Activities40
Cost67.91

Other Providers at the Same Location NPPES 3

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

MIDLAND CARDIAC CLINIC, PA
Internal Medicine (Cardiovascular Disease)
3403 ANDREWS HWY STE 300
MIDLAND, TX 79703
Midland County (432) 522-1234
RACHEL COZART FNP-C
Nurse Practitioner (Family)
3403 ANDREWS HWY STE 300
MIDLAND, TX 79703
Midland County (432) 522-1234
PANKAJ V. PATEL M.D.
Internal Medicine (Interventional Cardiology)
3403 ANDREWS HWY STE 300
MIDLAND, TX 79703
Midland County (432) 522-1234

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 Sophia Patel's NPI number?

The NPI number for Sophia Patel is 1164154589. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Where is Sophia Patel located?

Sophia Patel practices at 3403 Andrews Hwy Ste 300, Midland, TX 79703. The listed phone number is (432) 522-1234.

What is Sophia Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sophia Patel enrolled in Medicare?

Yes. Sophia Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sophia Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Patel reassigns Medicare benefits to Tri-City Cardiology Consultants, PC (Mesa, AZ). The 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 Sophia Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Patel accept?

Health plans from Imperial Insurance Companies, Inc. list Sophia 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.

When was this NPI record last updated?

The NPPES record for Sophia Patel was last updated on November 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.