KETKI PATEL M.D.
NPI 1255629465
Family Medicine in Longview, TX

Q: What is Ketki Patel's NPI number?

The NPI number for Ketki Patel is 1255629465. It was assigned to this individual provider in the NPPES registry on July 21, 2011.

Q: What is Ketki 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 Ketki Patel was last updated on November 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 21, 2011PECOS EnrolledAccepts Medicare Assignment

2010 BILL OWENS PKWY, LONGVIEW, TX 75604(903) 247-3400 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2024, Apr 21, 2021 (2 updates tracked since 2021).

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About Ketki Patel M.d. NPPES

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

KETKI PATEL M.D. (NPI 1255629465) is an individual family medicine provider in Longview, Texas, licensed in Texas (S8231) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255629465

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKETKI PATELCredential: M.D.

Location Address2010 BILL OWENS PKWYLongview, TX 75604-6210

Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 218-3500 · Fax (606) 218-4562

Phone(903) 247-3400

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 21, 2011

Last NPPES UpdateNovember 11, 20242 updates tracked since enumeration

NPPES CertifiedNovember 11, 2024

✔ NPI 1255629465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · S8231✔ Licensed in NC · 2014-01424✔ Licensed in KY · 48843

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.

2010 BILL OWENS PKWY, Longview, TX 75604

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Secondary Practice Locations 2

Location 1911 Bypass RdPikeville, KY 41501-1689 · Phone (606) 218-3500 · Fax (606) 218-4562

Location 2323 E Hawkins PkwyLongview, TX 75605-8153 · Phone (903) 247-3400

Other Identifiers 1

Other1N1803TX · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.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

Ketki 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 ID6103148077

PECOS Enrollment IDI20210316000824

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 4

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 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.

234 services129 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.

47 services40 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.

38 services38 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450032

Location700 E Marshall AveLongview, TX 75601 · Gregg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75604 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers11 claims22 services$6.00 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

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

JAMMIE L BARKER RN MSN ARNP FNP-BC

Nurse Practitioner (Family)