DR. TEJAL AMAR PATEL M.D.
NPI 1215910237
Internal Medicine - Hematology & Oncology in Houston, TX

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment
6545 MAIN STREET, OPC21, HOUSTON, TX 77030(713) 441-9948 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tejal Amar Patel M.d. NPPES

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

DR. TEJAL AMAR PATEL M.D. (NPI 1215910237) is an individual hematology & oncology provider in Houston, Texas, licensed in Texas (N1050) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Harris Health System, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1215910237
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. TEJAL AMAR PATELCredential: M.D.
Location Address6545 MAIN STREET, OPC21Houston, TX 77030
Mailing Address6545 Main Street, Opc21Houston, TX 77030 · (713) 441-9948
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2003
Enumeration DateNovember 23, 2005
Last NPPES UpdateMarch 20, 2019
✔ NPI 1215910237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in TX · N1050
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME91092 (FL)
6545 MAIN STREET, Houston, TX 77030

Secondary Practice Location 1

Location 11415 California StHouston, TX 77006-2602 · Phone (832) 548-5000

Other Identifiers 2

Other1215910237TX · Blue Cross Blue Shield
OtherP01142071TX · Rr Medicare

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

Dr. Tejal Amar 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.

PECOS PAC ID1456453851
PECOS Enrollment IDI20121107000651
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

2

Medicare enrollment records show Tejal Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group
Multi-Specialty
1515 HOLCOMBE BLVD
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,675 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.

Areas of Expertise CMS Part B claims

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
55 services38 patients

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
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.

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 Tejal Patel's NPI number?

The NPI number for Tejal Patel is 1215910237. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Tejal Patel located?

Tejal Patel practices at 6545 Main Street Opc21, Houston, TX 77030. The listed phone number is (713) 441-9948.

What is Tejal Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Tejal Patel enrolled in Medicare?

Yes. Tejal 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 Tejal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tejal Patel reassigns Medicare benefits to 2 organizations: Tmh Physician Associates PLLC (Houston, TX) and Physicians Referral Service (Houston, TX). 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 Tejal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tejal Patel accept?

Health plans from UnitedHealthcare list Tejal 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 Tejal Patel affiliated with any hospitals?

According to CMS data, Tejal Patel is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Tejal Patel was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.