DR. NISARG PATEL MD
NPI 1235592809
Family Medicine in Webster, TX

Q: What is Nisarg Patel's NPI number?

The NPI number for Nisarg Patel is 1235592809. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Q: What is Nisarg Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nisarg Patel was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment

500 N KOBAYASHI STE A, WEBSTER, TX 77598(281) 724-7341(281) 724-1861 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2025, Feb 27, 2023, Apr 14, 2022 and 2 more (5 updates tracked since 2016).

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About Dr. Nisarg Patel Md NPPES

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

DR. NISARG PATEL MD (NPI 1235592809) is an individual family medicine provider in Webster, Texas, licensed in Texas (S4666) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1235592809

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NISARG PATELCredential: MD

Location Address500 N KOBAYASHI STE AWebster, TX 77598-4722

Mailing AddressPo Box 58538Webster, TX 77598-8538 · (281) 724-7341 · Fax (281) 724-1861

Phone(281) 724-7341

Fax(281) 724-1861

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 31, 2016

Last NPPES UpdateAugust 13, 20255 updates tracked since enumeration

NPPES CertifiedAugust 13, 2025

✔ NPI 1235592809 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 · S4666

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 ListedHospitalistTaxonomy 208M00000X · License S4666 (TX)

500 N KOBAYASHI STE A, Webster, TX 77598

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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. Nisarg Patel Md 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 ID8426345224

PECOS Enrollment IDI20191211002983, I20210507001619

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

Medicare enrollment records show Nisarg Patel reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Excellence Emergency Hospital Physician PLLC

19 mi

Clinic/Center

15149 WALLISVILLE ROAD
Houston, TX 77049

Reassigned Medicare billing, Texas enrollment
57 clinicians in this Medicare group

NPI 1972223675 (832) 400-2396

Hni Medical Services

172 mi

Hospitalist

7500 RIALTO BLVD STE 1-140
Austin, TX 78735

Reassigned Medicare billing, Texas enrollment
241 clinicians in this Medicare group

NPI 1366735169 (512) 730-3060

Municipal Emergency Medicine Associates, PA

287 mi

Emergency Medicine

3615 N. INTERSTATE 69C
Edinburg, TX 78541

Reassigned Medicare billing, Texas enrollment
154 clinicians in this Medicare group

NPI 1396250650 (956) 259-2100

Edinburg Emergency Medicine Associates PA

293 mi

Emergency Medicine

1102 W TRENTON RD
Edinburg, TX 78539

Reassigned Medicare billing, Texas enrollment
257 clinicians in this Medicare group

NPI 1942467113 (956) 388-6600

Canyon Springs Emergency Medicine Associates, PA

293 mi

Emergency Medicine

140 FRONTAGE RD
Alamo, TX 78516

Reassigned Medicare billing, Texas enrollment
145 clinicians in this Medicare group

NPI 1154825412 (956) 403-5100

Mcallen Hospitalist Group, PLLC

294 mi

Internal Medicine

1400 W TRENTON RD
Edinburg, TX 78539

Reassigned Medicare billing, Texas enrollment
143 clinicians in this Medicare group

NPI 1356361976 (956) 388-2187

Oak Creek Emergency Medicine Associates, PA

296 mi

Emergency Medicine

3700 WEST NOLANA AVENUE
Mcallen, TX 78504

Reassigned Medicare billing, Texas enrollment
150 clinicians in this Medicare group

NPI 1629576632 (956) 213-2700

Mcallen Emergency Medicine Associates PA

298 mi

Emergency Medicine

301 W EXPY 83
Mcallen, TX 78503

Reassigned Medicare billing, Texas enrollment
170 clinicians in this Medicare group

NPI 1336543636 (956) 632-4100

Optimum Care Hospitalist Group PLLC

442 mi

Internal Medicine

1501 E 19TH ST
Edmond, OK 73013

Reassigned Medicare billing, Oklahoma enrollment
72 clinicians in this Medicare group

NPI 1306396577 (405) 367-6180

Optimum Post Acute Care PLLC

442 mi

Hospitalist

1501 E 19TH ST
Edmond, OK 73013

Reassigned Medicare billing, Oklahoma enrollment
55 clinicians in this Medicare group

NPI 1225774227 (405) 367-6180

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 20

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.

Detection test by nucleic acid for organism, amplified probe technique 87798

A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.

1,144 services83 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

742 services120 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

378 services101 patients

Detection test for candida species (yeast), amplified probe technique 87481

This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.

295 services55 patients

Detection test by nucleic acid for multiple organisms, amplified probe(s) technique 87801

This is a test that identifies various microorganisms in your body using a method called amplified probe technique. It targets specific genetic material (nucleic acids) of the organisms, amplifying them for easy detection. This helps in diagnosing infections accurately.

186 services58 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

128 services117 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

124 services114 patients

Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique 87640

A detection test for Staphylococcus aureus uses a method called the amplified probe technique. This method identifies the bacteria's unique genetic material, or nucleic acid, helping to confirm its presence. It's a highly accurate way to detect this type of bacteria.

90 services83 patients

Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique 87641

A detection test by nucleic acid for MRSA bacteria uses an amplified probe technique. It's a lab procedure that identifies the presence of MRSA, a type of bacteria resistant to many antibiotics. This test helps in deciding the best treatment.

90 services83 patients

Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651

This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.

89 services82 patients

Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique 87500

The detection test by nucleic acid for vancomycin-resistant strep (VRE) is a laboratory procedure. It uses an amplified probe technique to identify specific genetic material in bacteria. This helps determine if the bacteria are resistant to the antibiotic vancomycin.

62 services57 patients

Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique 87653

A detection test by nucleic acid for Group B Strep uses an amplified probe technique. This test identifies the presence of Group B Strep bacteria in the body. It involves collecting a sample, usually a swab, which is then examined in a lab for the bacteria's genetic material.

58 services54 patients

Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique 87486

This test checks for the presence of Chlamydia pneumoniae, a bacterium that can cause respiratory infections. It uses an amplified probe technique, which magnifies the bacterium's genetic material for easier detection. It's a standard, non-invasive procedure.

26 services26 patients

Detection test by nucleic acid for enterovirus (intestinal virus), amplified probe technique 87498

This test identifies the presence of an enterovirus, a type of virus that primarily targets the digestive system. It uses a method called the amplified probe technique to boost the detection of the virus's genetic material, or nucleic acid.

26 services26 patients

Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique 87541

A detection test for Legionella Pneumophila, a waterborne bacteria, uses the amplified probe technique. This involves identifying the bacteria's unique genetic material (nucleic acid) and amplifying it for easier detection, aiding in accurate diagnosis.

26 services26 patients

Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique 87581

This test checks for Mycoplasma pneumoniae, a bacteria that can cause lung infection. It uses a method called amplified probe technique, which identifies the bacteria's genetic material. This helps in diagnosing the infection accurately.

26 services26 patients

Detection test by nucleic acid for multiple types influenza virus 87502

A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.

21 services21 patients

Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique 87634

This test identifies the presence of the Respiratory Syncytial Virus (RSV) in your body. It uses a technique called the amplified probe, which increases the amount of viral genetic material, making it easier to detect. This helps in diagnosing RSV infections accurately.

21 services21 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

21 services21 patients

Blood creatinine level 82565

A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.

19 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370037

Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County

Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Midwest

Acute Care Hospitals · Midwest City, OK

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370094

Location2825 Parklawn DriveMidwest City, OK 73110 · Oklahoma County

Emergency services

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370149

Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County

Emergency services Birthing friendly

St Francis-Downtown

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420023

LocationOne St Francis DrGreenville, SC 29601 · Greenville County

Emergency services Birthing friendly

South Texas Health System

Acute Care Hospitals · Edinburg, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450119

Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77598 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

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

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier15 claims15 services$6.49 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 20

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

ANOOSHA ASIF KARDIA PA-C

Physician Assistant (Surgical)