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MONA PATEL APRN
NPI 1205249273
Nurse Practitioner - Family in Bellaire, TX

Active since June 08, 2014PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6500 WEST LOOP S STE 200C, BELLAIRE, TX 77401(713) 486-5150(713) 666-2998 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2026, Mar 2, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Mona Patel Aprn NPPES

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

MONA PATEL APRN (NPI 1205249273) is an individual family provider in Bellaire, Texas, licensed in Texas (AP124989) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1205249273
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMONA PATELCredential: APRN
Location Address6500 WEST LOOP S STE 200CBellaire, TX 77401-3535
Mailing Address5719 Bell Cliff CtHouston, TX 77059-1411 · (832) 748-7788
Phone(713) 486-5150
Fax(713) 666-2998
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 8, 2014
Last NPPES UpdateApril 13, 20264 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1205249273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP124989
6500 WEST LOOP S STE 200C, Bellaire, TX 77401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare 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

Mona Patel Aprn 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 ID3274802350
PECOS Enrollment IDI20170705001764
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 4

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.
150 services101 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
26 services12 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
22 services14 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
14 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 Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77401 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
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
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 4

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

DANA ELENA GIZA M.D.
Family Medicine (Geriatric Medicine)
6500 WEST LOOP S STE 200C
BELLAIRE, TX 77401
Harris County (713) 486-5150
RAFAEL SAMPER-TERNENT MD, PHD
Internal Medicine (Geriatric Medicine)
6500 WEST LOOP S STE 200C
BELLAIRE, TX 77401
Harris County (713) 500-9427
SHUYAN BI
Nurse Practitioner
6500 WEST LOOP S STE 200C
BELLAIRE, TX 77401
Harris County (713) 486-5150
DR. MAUREEN S BECK DNP, APRN, GNP-BC
Nurse Practitioner (Gerontology)
6500 WEST LOOP S STE 200C
BELLAIRE, TX 77401
Harris County (713) 486-5150

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 Mona Patel's NPI number?

The NPI number for Mona Patel is 1205249273. It was assigned to this individual provider in the NPPES registry on June 8, 2014.

Where is Mona Patel located?

Mona Patel practices at 6500 West Loop S Ste 200C, Bellaire, TX 77401. The listed phone number is (713) 486-5150.

What is Mona Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mona Patel enrolled in Medicare?

Yes. Mona 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 Mona Patel accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Mona 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 Mona Patel affiliated with any hospitals?

According to CMS data, Mona Patel is affiliated with Memorial Hermann - Texas Medical Center and Memorial Hermann Memorial City Hospital.

When was this NPI record last updated?

The NPPES record for Mona Patel was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.