KETAN PATEL M.D.
NPI 1174721310
Internal Medicine - Pulmonary Disease in Tyler, TX
About Ketan Patel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KETAN PATEL M.D. (NPI 1174721310) is an individual pulmonary disease provider in Tyler, Texas, licensed in Texas (N7858) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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
Ketan Patel 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.
Areas of Expertise CMS Part B claims 34
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ut Health East Texas Tyler Regional Hospital
Acute Care Hospitals · Tyler, TXUt Health East Texas Jacksonville Hospital
Acute Care Hospitals · Jacksonville, TXUt Health East Texas Carthage Hospital
Acute Care Hospitals · Carthage, TXUt Health East Texas Athens Hospital
Acute Care Hospitals · Athens, TXUt Health East Texas Henderson Hospital
Acute Care Hospitals · Henderson, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 35
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
TYLER, TX 75701
TYLER, TX 75701
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 Ketan Patel's NPI number?
The NPI number for Ketan Patel is 1174721310. It was assigned to this individual provider in the NPPES registry on July 10, 2007.
Where is Ketan Patel located?
Ketan Patel practices at 912 S Fleishel Ave, Tyler, TX 75701. The listed phone number is (903) 592-6901.
What is Ketan Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Ketan Patel enrolled in Medicare?
Yes. Ketan 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.
What insurance does Ketan Patel 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 2 other insurers list Ketan 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 Ketan Patel affiliated with any hospitals?
According to CMS data, Ketan Patel is affiliated with Ut Health East Texas Tyler Regional Hospital, Ut Health East Texas Jacksonville Hospital, Ut Health East Texas Carthage Hospital, Ut Health East Texas Athens Hospital and Ut Health East Texas Henderson Hospital.
When was this NPI record last updated?
The NPPES record for Ketan Patel was last updated on November 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.