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SHIVANI C PATEL M.D.
NPI 1245549047
Internal Medicine - Hematology & Oncology in Houston, TX

Active since September 28, 2010PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 29, 2018, Jun 17, 2016 (2 updates tracked since 2016).

About Shivani C Patel M.d. NPPES

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

SHIVANI C PATEL M.D. (NPI 1245549047) is an individual hematology & oncology provider in Houston, Texas, licensed in Texas (Q3263) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2010).

NPPES Registry Identity

NPI1245549047
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameSHIVANI C PATELCredential: M.D.
Location Address1515 HOLCOMBE BLVDHouston, TX 77030
Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-6161
Phone(713) 792-6161
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2010
Enumeration DateSeptember 28, 2010
Last NPPES UpdateAugust 29, 20182 updates tracked since enumeration
✔ NPI 1245549047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in TX · Q3263
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.
1515 HOLCOMBE BLVD, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 2

Medicaid367531601TX
Other8GJ616TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Shivani C 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 ID5890078596
PECOS Enrollment IDI20170202002257
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

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.
44 services35 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.

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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

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. MERRY CHEN MD
Psychiatry & Neurology (Neurology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
AMEENA BAGREE MALHOTRA M.D.
Internal Medicine (Nephrology)
1515 HOLCOMBE BLVD, 77030-4009
HOUSTON, TX 77030
Harris County (713) 792-6161
SOLANGE ERLYN COX MD
Surgery
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-2360
DR. BRYAN KEITH GUILLORY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
JANUARY Y TSAI MD
Anesthesiology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
DR. SUNYOUNG LEE MD
Internal Medicine (Medical Oncology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
MRS. RACHEL KRAMER FUTRELL PA-C
Physician Assistant
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161
MEGAN J TANNER NP-C
Nurse Practitioner
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 792-6161

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 Shivani Patel's NPI number?

The NPI number for Shivani Patel is 1245549047. It was assigned to this individual provider in the NPPES registry on September 28, 2010.

Where is Shivani Patel located?

Shivani Patel practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.

What is Shivani Patel's specialty?

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

Is Shivani Patel enrolled in Medicare?

Yes. Shivani 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 Shivani Patel accept?

Health plans from Blue Cross and Blue Shield of Texas list Shivani 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 Shivani Patel affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Shivani Patel was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.