Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KETUL RAJANIKANT PATEL MD
NPI 1295832020
Hospitalist in Houston, TX

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
708 MAIN ST FL 10, HOUSTON, TX 77002(855) 212-2273 Get Directions Write a Review

NPPES record last updated: October 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2026, Sep 19, 2024, Jul 29, 2021 and 2 more (5 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 Houston, Texas, licensed in Texas (N6952) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Texas Medical School At San Antonio (2003).

NPPES Registry Identity

NPI1295832020
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameKETUL RAJANIKANT PATELCredential: MD
Location Address708 MAIN ST FL 10Houston, TX 77002-3246
Mailing Address5410 Maryland Way Ste 400Brentwood, TN 37027-8087 · (855) 212-2273
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2003
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 11, 20265 updates tracked since enumeration
NPPES CertifiedOctober 11, 2026
✔ 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)
708 MAIN ST FL 10, Houston, TX 77002

Secondary Practice Locations 3

Location 1Ut Southwestern Medical Ctr, 5323 Harry Hines BlvdDallas, TX 75390-0001 · Phone (214) 648-9741
Location 218703 N Blanco Bend DrCypress, TX 77433-3114 · Phone (917) 653-6526
Location 32727 W Holcombe BlvdHouston, TX 77025-1669 · Phone (713) 442-0000

Other Identifiers 2

Medicaid1295832020TX
Medicaid215672113TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

10

Medicare enrollment records show Ketul Patel reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group
Otolaryngology
7550 GREENBRIAR DR STE 600
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 1,579 clinicians in this Medicare group
Multi-Specialty
2727 W HOLCOMBE BLVD
Houston, TX 77025
  • Reassigned Medicare billing, Texas enrollment
  • 1,649 clinicians in this Medicare group
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
27 mi
Internal Medicine
34 RUBY BLOSSOM CT
Tomball, TX 77377
  • Reassigned Medicare billing, Texas enrollment
Family Medicine
6631 W CROSS CREEK BEND LN STE 200
Fulshear, TX 77441
  • Reassigned Medicare billing, Texas enrollment
  • 1,235 clinicians in this Medicare group
Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
  • Reassigned Medicare billing, Texas enrollment
  • 91 clinicians in this Medicare group
Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
  • Reassigned Medicare billing, Arizona enrollment
  • 67 clinicians in this Medicare group
Nephrology
4620 E 53RD ST STE 200
Davenport, IA 52807
  • Reassigned Medicare billing, Iowa enrollment
  • 46 clinicians in this Medicare group
Nephrology
333 CITY BLVD W STE 362
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 36 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77002 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.

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.

Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002
Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002
Physician Assistant (Medical)
708 MAIN ST FL 10
HOUSTON, TX 77002
Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002
Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002
Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002
Nurse Practitioner (Family)
708 MAIN ST FL 10
HOUSTON, TX 77002
Behavior Technician
708 MAIN ST FL 10
HOUSTON, TX 77002

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 708 Main St Fl 10, Houston, TX 77002. The listed phone number is (855) 212-2273.

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.

Which organizations bill Medicare for Ketul Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ketul Patel reassigns Medicare benefits to 10 organizations: Tmh Physician Associates PLLC (Houston, TX), Houston Methodist Specialty Physicians (Houston, TX), Kelsey-Seybold Medical Group, PLLC (Houston, TX), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX), Kpmd PA (Tomball, TX) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ketul Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ketul Patel accept?

Health plans from Blue Cross and Blue Shield of Texas, 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.

When was this NPI record last updated?

The NPPES record for Ketul Patel was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.