SULAY PANKAJ PATEL
NPI 1265798763
Internal Medicine - Cardiovascular Disease in Midland, TX

Active since April 09, 2012PECOS EnrolledAccepts Medicare Assignment
82/100
CMS Quality Rating
400 ROSALIND REDFERN GROVER PKWY STE 240, MIDLAND, TX 79701(432) 221-3600(432) 221-5981 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2025, Jul 1, 2019, Nov 14, 2015 (3 updates tracked since 2015).

About Sulay Pankaj Patel NPPES

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

SULAY PANKAJ PATEL (NPI 1265798763) is an individual cardiovascular disease provider in Midland, Texas, licensed in Texas (R7048) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Medical Center Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1265798763
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSULAY PANKAJ PATEL
Location Address400 ROSALIND REDFERN GROVER PKWY STE 240Midland, TX 79701
Mailing Address4214 Andrews Hwy Ste 240Midland, TX 79703-4817 · (432) 221-4243 · Fax (432) 221-5981
Fax(432) 221-5981
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 9, 2012
Last NPPES UpdateJune 9, 20253 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
NPI 1265798763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · R7048
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 73778 (GA)
400 ROSALIND REDFERN GROVER PKWY STE 240, Midland, TX 79701

Other Identifiers 2

Other073778GA · Georgia Composite Medical Board
OtherR7084TX · Texas Medical Board

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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

Sulay Pankaj Patel 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 ID5890097489
PECOS Enrollment IDI20180625000594
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 33

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.
308 services177 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.
254 services160 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
217 services184 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
185 services179 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.
149 services147 patients
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.
133 services86 patients

Hospital Affiliations CMS Care Compare 2

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

Medical Center Hospital

Acute Care Hospitals · Odessa, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450132
Location500 W 4th StreetOdessa, TX 79761 · Ector County
Emergency services Birthing friendly

Midland Memorial Hospital

Acute Care Hospitals · Midland, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450133
Location400 Rosalind Redfern Grover ParkwayMidland, TX 79701 · Midland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79701 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability98
Improvement Activities40
Cost67.91

Reported Quality Measures

Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
91%22 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%22 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
32%22 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
9%22 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Internal Medicine
400 ROSALIND REDFERN GROVER PKWY STE 240
MIDLAND, TX 79701
Nurse Practitioner (Family)
400 ROSALIND REDFERN GROVER PKWY STE 240
MIDLAND, TX 79701
Internal Medicine (Cardiovascular Disease)
400 ROSALIND REDFERN GROVER PKWY STE 240
MIDLAND, TX 79701
Internal Medicine (Cardiovascular Disease)
400 ROSALIND REDFERN GROVER PKWY STE 240
MIDLAND, TX 79701

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 Sulay Patel's NPI number?

The NPI number for Sulay Patel is 1265798763. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Sulay Patel located?

Sulay Patel practices at 400 Rosalind Redfern Grover Pkwy Ste 240, Midland, TX 79701. The listed phone number is (432) 221-3600.

What is Sulay Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sulay Patel enrolled in Medicare?

Yes. Sulay 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 Sulay Patel accept?

Health plans from Ambetter from Arizona Complete Health, Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Sulay 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 Sulay Patel affiliated with any hospitals?

According to CMS data, Sulay Patel is affiliated with Medical Center Hospital and Midland Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sulay Patel was last updated on June 9, 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.