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KETUL RAJANIKANT PATEL MD
NPI 1295832020
Hospitalist in Cypress, TX

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
18703 N BLANCO BEND DR, CYPRESS, TX 77433(917) 653-6526 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Jul 29, 2021, Jul 21, 2021 and 1 more (4 updates tracked since 2020).

About Ketul Rajanikant Patel Md NPPES

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

KETUL RAJANIKANT PATEL MD (NPI 1295832020) is an individual hospitalist provider in Cypress, Texas, licensed in Texas (N6952) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Kingwood, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295832020
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameKETUL RAJANIKANT PATELCredential: MD
Location Address18703 N BLANCO BEND DRCypress, TX 77433-3114
Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-4997
Phone(917) 653-6526
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2003
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 19, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1295832020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · N6952
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License N6952 (TX), 240149 (NY)
18703 N BLANCO BEND DR, Cypress, TX 77433
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Secondary Practice Locations 2

Location 1Ut Southwestern Medical Ctr, 5323 Harry Hines BlvdDallas, TX 75390-0001 · Phone (214) 648-9741
Location 22727 W Holcombe BlvdHouston, TX 77025-1669 · Phone (713) 442-0000

Other Identifiers 1

Medicaid215672113TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare 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

Ketul Rajanikant Patel 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 ID6204838709
PECOS Enrollment IDI20101020000449
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
139 services63 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.
52 services30 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.
38 services37 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
29 services27 patients

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77433 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers21 claims21 services$14.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers23 claims23 services$68.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ketul Patel's NPI number?

The NPI number for Ketul Patel is 1295832020. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Ketul Patel located?

Ketul Patel practices at 18703 N Blanco Bend Dr, Cypress, TX 77433. The listed phone number is (917) 653-6526.

What is Ketul Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ketul Patel enrolled in Medicare?

Yes. Ketul 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 Ketul Patel accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Ketul 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 Ketul Patel affiliated with any hospitals?

According to CMS data, Ketul Patel is affiliated with Hca Houston Healthcare Kingwood.

When was this NPI record last updated?

The NPPES record for Ketul Patel was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.