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DR. SHITAL PATEL M.D.
NPI 1225340144
Family Medicine in Houston, TX

Active since July 08, 2010PECOS EnrolledAccepts Medicare AssignmentCLIA 45D2152417 · Microscopy
1801 NORTH LOOP W STE 45, MEDICAL PLAZA 3, HOUSTON, TX 77008(832) 308-0508(832) 844-0707 Get Directions Write a Review

NPPES record last updated: March 1, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2019, Aug 8, 2018, Jun 5, 2017 (3 updates tracked since 2017).

About Dr. Shital Patel M.d. NPPES

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

DR. SHITAL PATEL M.D. (NPI 1225340144) is an individual family medicine provider in Houston, Texas, licensed in Texas (P7532) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through June 13, 2028, and is affiliated with Memorial Hermann Hospital System.

NPPES Registry Identity

NPI1225340144
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHITAL PATELCredential: M.D.
Location Address1801 NORTH LOOP W STE 45, MEDICAL PLAZA 3Houston, TX 77008-1445
Mailing Address1801 North Loop W Ste 42Houston, TX 77008-1445 · (832) 308-0508
Phone(832) 308-0508
Fax(832) 844-0707
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 8, 2010
Last NPPES UpdateMarch 1, 20193 updates tracked since enumeration
✔ NPI 1225340144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · P7532
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116022578 (VA)
1801 NORTH LOOP W STE 45, Houston, TX 77008
Open in Google Maps ↗

Other Identifiers 1

Other207Q00000XVA · Family Medicine

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Shital 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 ID8820235484
PECOS Enrollment IDI20131029000763
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

3

Medicare enrollment records show Shital Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shital Patel 14 MD PA
Same address
Family Medicine
1801 NORTH LOOP W STE 45
Houston, TX 77008
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1972090215 (832) 308-0508
Trumen Physician And Associates Post Acute PLLC
9.2 mi
Geriatric Medicine
2626 S LOOP W STE 265
Houston, TX 77054
  • Reassigned Medicare billing, Texas enrollment
  • 143 clinicians in this Medicare group
NPI 1316801004 (713) 796-9955
Trumen Physicians And Associates PLLC
9.2 mi
Geriatric Medicine
2626 S LOOP W STE 265
Houston, TX 77054
  • Reassigned Medicare billing, Texas enrollment
  • 158 clinicians in this Medicare group
NPI 1134442320 (713) 242-7707

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2152417

Dr Shital Patel Greater Heights Family Clinic · Houston, TX
Active · expires Jun 13, 2028
CLIA Number45D2152417
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2026
Certificate Expiration DateJune 13, 2028
Laboratory DirectorShital Patel
Laboratory Phone(832) 308-0508
Laboratory LocationDr Shital Patel Greater Heights Family Clinic1801 North Loop West Suite 45, Houston, TX 77008
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
251 services63 patients
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.
84 services40 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
74 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services22 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
34 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 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 Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Ad Hospital East, LLC

Acute Care Hospitals · Houston, TX
OwnershipProprietary
CMS Certification Number670102
Location12950 East Freeway, Suite 100Houston, TX 77015 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77008 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers14 claims280 services$3.46 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers17 claims825 services$0.21 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
2 suppliers17 claims825 services$0.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RINAL PATEL 30 MD PA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1801 NORTH LOOP W STE 45
HOUSTON, TX 77008
Harris County (240) 461-6885
SHITAL PATEL 14 MD PA
Family Medicine
1801 NORTH LOOP W STE 45
HOUSTON, TX 77008
Harris County (832) 308-0508
DR. RINAL PATEL MD
Internal Medicine
1801 NORTH LOOP W STE 45, MEDICAL PLAZA 3
HOUSTON, TX 77008
Harris County (832) 308-0508

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 Shital Patel's NPI number?

The NPI number for Shital Patel is 1225340144. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Shital Patel located?

Shital Patel practices at 1801 North Loop W Ste 45 Medical Plaza 3, Houston, TX 77008. The listed phone number is (832) 308-0508.

What is Shital Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shital Patel enrolled in Medicare?

Yes. Shital 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 Shital Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shital Patel reassigns Medicare benefits to 3 organizations: Shital Patel 14 MD PA (Houston, TX), Trumen Physician And Associates Post Acute PLLC (Houston, TX) and Trumen Physicians And Associates PLLC (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 Shital Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Shital Patel hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2152417) is associated with this NPI, valid through June 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shital 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 4 other insurers list Shital 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 Shital Patel affiliated with any hospitals?

According to CMS data, Shital Patel is affiliated with Memorial Hermann Hospital System and Ad Hospital East, LLC.

When was this NPI record last updated?

The NPPES record for Shital Patel was last updated on March 1, 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.