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NINAD PATIL MD
NPI 1265633390
Pathology - Anatomic Pathology & Clinical Pathology in Houston, TX

Active since May 29, 2007PECOS EnrolledAccepts Medicare Assignment
6651 MAIN ST STE F0455.10, HOUSTON, TX 77030(832) 826-7403 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ninad Patil Md NPPES

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

NINAD PATIL MD (NPI 1265633390) is an individual anatomic pathology & clinical pathology provider in Houston, Texas, licensed in Texas (Q5708) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1265633390
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameNINAD PATILCredential: MD
Location Address6651 MAIN ST STE F0455.10Houston, TX 77030-2351
Mailing Address6651 Main St Ste F0455.10Houston, TX 77030-2351 · (832) 826-7403
Phone(832) 826-7403
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 29, 2007
Last NPPES UpdateJanuary 21, 2021
NPPES CertifiedJanuary 21, 2021
✔ NPI 1265633390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in TX · Q5708
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
6651 MAIN ST STE F0455.10, Houston, TX 77030
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Secondary Practice Location 1

Location 11 Gustave L Levy Pl, annenberg 15th floor, 15-92BNew York, NY 10029-6504 · Phone (212) 241-3352

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Baylor Scott and White Health Plan and more.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

Ninad Patil 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 ID5395994289
PECOS Enrollment IDI20150903001594
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 2

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
39 services19 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
12 services11 patients

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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
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.

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 Ninad Patil's NPI number?

The NPI number for Ninad Patil is 1265633390. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Ninad Patil located?

Ninad Patil practices at 6651 Main St Ste F0455.10, Houston, TX 77030. The listed phone number is (832) 826-7403.

What is Ninad Patil's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Ninad Patil enrolled in Medicare?

Yes. Ninad Patil 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 Ninad Patil accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Community Health Choice list Ninad Patil 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 Ninad Patil was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.