PAYAL GABA M.D.
NPI 1275650152
Family Medicine in Sugar Land, TX

Active since March 23, 2007PECOS EnrolledAccepts Medicare Assignment
14023 SOUTHWEST FWY, SUGAR LAND, TX 77478(281) 325-4100(281) 325-4228 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2025, Sep 16, 2024, May 19, 2021 and 2 more (5 updates tracked since 2020).

About Payal Gaba M.d. NPPES

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

PAYAL GABA M.D. (NPI 1275650152) is an individual family medicine provider in Sugar Land, Texas, licensed in Texas (S4140) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and maintains a secondary practice location in Richland.

NPPES Registry Identity

NPI1275650152
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePAYAL GABACredential: M.D.
Location Address14023 SOUTHWEST FWYSugar Land, TX 77478-3550
Mailing Address920 Frostwood Dr Ste 2.300Houston, TX 77024-2314
Fax(281) 325-4228
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 23, 2007
Last NPPES UpdateJanuary 7, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
NPI 1275650152 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 · S4140 Licensed in WA · MD00047067
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.

14023 SOUTHWEST FWY, Sugar Land, TX 77478

Secondary Practice Location 1

Location 1940 Northgate DrRichland, WA 99352-3505 · Phone (509) 942-2516 · Fax (509) 942-2527

Other Identifiers 1

Medicaid127650152WA

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

Payal Gaba 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 ID5890886865
PECOS Enrollment IDI20200116001823
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 3

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.
58 services42 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.
30 services29 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450848
Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77478 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.

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.

Family Medicine
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Family Medicine
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Family Medicine
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Student in an Organized Health Care Education/Training Program
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Student in an Organized Health Care Education/Training Program
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Family Medicine
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Family Medicine
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Student in an Organized Health Care Education/Training Program
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478

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 Payal Gaba's NPI number?

The NPI number for Payal Gaba is 1275650152. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Payal Gaba located?

Payal Gaba practices at 14023 Southwest Fwy, Sugar Land, TX 77478. The listed phone number is (281) 325-4100.

What is Payal Gaba's specialty?

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

Is Payal Gaba enrolled in Medicare?

Yes. Payal Gaba 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 Payal Gaba accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company, PacificSource Health Plans and Providence Health Plan list Payal Gaba 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 Payal Gaba affiliated with any hospitals?

According to CMS data, Payal Gaba is affiliated with Memorial Hermann Hospital System and Memorial Hermann Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Payal Gaba was last updated on January 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.