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MEHUL RAJNIKANT PATEL M.D.
NPI 1225424526
Pediatrics in Houston, TX

Active since April 13, 2015PECOS Enrolled
6431 FANNIN ST, HOUSTON, TX 77030(713) 500-5800(713) 500-5805 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2024, Dec 3, 2018, Aug 17, 2017 (3 updates tracked since 2017).

About Mehul Rajnikant Patel M.d. NPPES

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

MEHUL RAJNIKANT PATEL M.D. (NPI 1225424526) is an individual pediatrics provider in Houston, Texas, licensed in Texas (R4303) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225424526
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMEHUL RAJNIKANT PATELCredential: M.D.
Location Address6431 FANNIN STHouston, TX 77030-1501
Mailing Address6431 Fannin StHouston, TX 77030-1501 · (713) 500-5800 · Fax (713) 500-5805
Phone(713) 500-5800
Fax(713) 500-5805
Sole ProprietorNo
Enumeration DateApril 13, 2015
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1225424526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · R4303
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License R4303 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6431 FANNIN ST, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mehul Rajnikant Patel M.d. 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 Reassignments

3

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

Pediatrix Medical Group Of Texas Billing, Inc.
11 mi
Neonatal-Perinatal Medicine
2929 WOODLAND PARK DR
Houston, TX 77082
  • Reassigned Medicare billing, Texas enrollment
  • 508 clinicians in this Medicare group
NPI 1649377359 (281) 293-7774
Memorial Hermann Medical Group
29 mi
Family Medicine
6631 W CROSS CREEK BEND LN STE 200
Fulshear, TX 77441
  • Reassigned Medicare billing, Texas enrollment
  • 1,235 clinicians in this Medicare group
NPI 1003985102 (832) 658-5750
Magella Medical Associates Billing, Inc.
149 mi
Neonatal-Perinatal Medicine
2400 ROUND ROCK AVE
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • 432 clinicians in this Medicare group
NPI 1083631071 (512) 341-1000

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

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
$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.

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.

DR. STUART MASON FRASER M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6431 FANNIN ST, MSB 3.151
HOUSTON, TX 77030
Harris County (713) 500-5800
AMY ROSSI MD
Emergency Medicine
6431 FANNIN ST, JJL 431
HOUSTON, TX 77030
Harris County (713) 500-7882
MATTHEW KHOA NGUYEN
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-6113
MARY WAYNE PELTIER MD
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-5010
HANNA MAVRIC DO
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-7882
DR. DAVIDE CATTANO MD
Anesthesiology
6431 FANNIN ST, MSB 5.020
HOUSTON, TX 77030
Harris County (713) 500-6235
MICHAEL ANTHONY HOLZMAN
Orthopaedic Surgery
6431 FANNIN ST, SUITE JJL 310
HOUSTON, TX 77030
Harris County (713) 500-5154
SHUBHANGI MEHRA
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-0798

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 Mehul Patel's NPI number?

The NPI number for Mehul Patel is 1225424526. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Mehul Patel located?

Mehul Patel practices at 6431 Fannin St, Houston, TX 77030. The listed phone number is (713) 500-5800.

What is Mehul Patel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mehul Patel enrolled in Medicare?

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

Which organizations bill Medicare for Mehul Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mehul Patel reassigns Medicare benefits to 3 organizations: Pediatrix Medical Group Of Texas Billing, Inc. (Houston, TX), Memorial Hermann Medical Group (Fulshear, TX) and Magella Medical Associates Billing, Inc. (Round Rock, 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 Mehul Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mehul Patel accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and WellPoint list Mehul 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 Mehul Patel was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.