DR. VIRAL LATHIA MD
NPI 1295931145
Internal Medicine - Cardiovascular Disease in Mansfield, TX

Active since June 26, 2007PECOS EnrolledAccepts Medicare Assignment
309 REGENCY PKWY STE 205, MANSFIELD, TX 76063(682) 499-1777(682) 499-1779 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2024, Dec 13, 2022, Jan 15, 2018 (3 updates tracked since 2018).

About Dr. Viral Lathia Md NPPES

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

DR. VIRAL LATHIA MD (NPI 1295931145) is an individual cardiovascular disease provider in Mansfield, Texas, licensed in Texas (S0177) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Methodist Dallas Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1295931145
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. VIRAL LATHIACredential: MD
Location Address309 REGENCY PKWY STE 205Mansfield, TX 76063-7305
Mailing Address309 Regency Pkwy Ste 205Mansfield, TX 76063-7305 · (551) 208-1758 · Fax (682) 499-1779
Fax(682) 499-1779
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 26, 2007
Last NPPES UpdateOctober 8, 20243 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
NPI 1295931145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in TX · S0177 Licensed in MS · 24429
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.
309 REGENCY PKWY STE 205, Mansfield, TX 76063

Other Identifiers 1

Medicaid3933251TX

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

Dr. Viral Lathia 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 ID6103958491
PECOS Enrollment IDI20190125000174
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 25

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.

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.
604 services423 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.
544 services196 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.
525 services330 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
464 services422 patients
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.
302 services206 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.
292 services282 patients

Hospital Affiliations CMS Care Compare 5

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

Methodist Dallas Medical Center

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450051
Location1441 North Beckley AvenueDallas, TX 75203 · Dallas County
Emergency services Birthing friendly

Methodist Charlton Medical Center

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450723
Location3500 W Wheatland RoadDallas, TX 75237 · Dallas County
Emergency services Birthing friendly

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670023
Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Methodist Midlothian Medical Center

Acute Care Hospitals · Midlothian, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670300
Location1201 E Highway 287Midlothian, TX 76065 · Ellis County
Emergency services Birthing friendly

Texas Health Hospital Mansfield

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670309
Location2300 Lone Star RoadMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
0%460 patients1/55-star benchmark: 92%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,312 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
18%1,769 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 1,270 patients
Patients tobacco: 9% · 183 patients
83%1,270 patients4/55-star benchmark: 98%
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.

Nurse Practitioner (Acute Care)
309 REGENCY PKWY STE 205
MANSFIELD, TX 76063
Chiropractor
309 REGENCY PKWY STE 205
MANSFIELD, TX 76063
Internal Medicine (Cardiovascular Disease)
309 REGENCY PKWY STE 205
MANSFIELD, TX 76063
Nurse Practitioner (Primary Care)
309 REGENCY PKWY STE 205
MANSFIELD, TX 76063

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 Viral Lathia's NPI number?

The NPI number for Viral Lathia is 1295931145. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Where is Viral Lathia located?

Viral Lathia practices at 309 Regency Pkwy Ste 205, Mansfield, TX 76063. The listed phone number is (682) 499-1777.

What is Viral Lathia's specialty?

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

Is Viral Lathia enrolled in Medicare?

Yes. Viral Lathia 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 Viral Lathia accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Viral Lathia 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 Viral Lathia affiliated with any hospitals?

According to CMS data, Viral Lathia is affiliated with Methodist Dallas Medical Center, Methodist Charlton Medical Center, Methodist Mansfield Medical Center, Methodist Midlothian Medical Center and Texas Health Hospital Mansfield.

When was this NPI record last updated?

The NPPES record for Viral Lathia was last updated on October 8, 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.