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

RIYA PATEL OD
NPI 1346060399
Optometrist in Humble, TX

Active since October 15, 2024PECOS Enrolled
20131 EASTEX FWY STE 1142, HUMBLE, TX 77338(409) 767-3897 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 14, 2026, Sep 8, 2026, Sep 2, 2026 (3 updates tracked since 2026).

About Riya Patel Od NPPES

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

RIYA PATEL OD (NPI 1346060399) is an individual optometrist in Humble, Texas, licensed in Texas (11207T) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1346060399
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameRIYA PATELCredential: OD
Location Address20131 EASTEX FWY STE 1142Humble, TX 77338-2331
Mailing Address414 Milam St Apt 3904Houston, TX 77002-1994 · (409) 767-3897
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 15, 2024
Last NPPES UpdateSeptember 14, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1346060399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in TX · 11207T✔ Licensed in MD · TA3174✔ Licensed in NJ · 27OA00743800✔ Licensed in CO · OPT.0004150✔ Licensed in MN · 4039
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
20131 EASTEX FWY STE 1142, Humble, TX 77338

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riya Patel Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072040310
PECOS Enrollment IDI20251028003533
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

9

Medicare enrollment records show Riya Patel reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
365 GREENS RD
Houston, TX 77060
  • Reassigned Medicare billing, Texas enrollment
  • 396 clinicians in this Medicare group
Optometrist
205B W WATER ST
Kerrville, TX 78028
  • Reassigned Medicare billing, Texas enrollment
  • 404 clinicians in this Medicare group
Optometrist
310 EARLY BLVD
Early, TX 76802
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Brownwood Optometrists PC
  • 54 clinicians in this Medicare group
Optometrist
107 N 8TH ST
Ballinger, TX 76821
  • Reassigned Medicare billing, Texas enrollment
  • 33 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
8061 ALAMEDA AVE
El Paso, TX 79915
  • Reassigned Medicare billing, Texas enrollment
  • 40 clinicians in this Medicare group
Optometrist
317 W 3RD ST STE 104
La Junta, CO 81050
  • Reassigned Medicare billing, Colorado enrollment
  • 43 clinicians in this Medicare group
Optometrist
1130 LAKE PLAZA DR STE 130
Colorado Springs, CO 80906
  • Reassigned Medicare billing, Colorado enrollment
  • 98 clinicians in this Medicare group
Optometrist
741 N ALAFAYA TRL UNIT H01
Orlando, FL 32828
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
Optometrist
14200 E ALAMEDA AVE
Aurora, CO 80012
  • Reassigned Medicare billing, Colorado enrollment
  • 42 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77338 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
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

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 Riya Patel's NPI number?

The NPI number for Riya Patel is 1346060399. It was assigned to this individual provider in the NPPES registry on October 15, 2024.

Where is Riya Patel located?

Riya Patel practices at 20131 Eastex Fwy Ste 1142, Humble, TX 77338. The listed phone number is (409) 767-3897.

What is Riya Patel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Riya Patel enrolled in Medicare?

Yes. Riya Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Riya Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riya Patel reassigns Medicare benefits to 9 organizations: Med Southwest, PLLC (Houston, TX), Aeg Texas Professional PLLC (Kerrville, TX), Brownwood Optometrists, P.C. (Early, TX), Sdr Practices, LLC (Ballinger, TX), Centro San Vicente (El Paso, TX) and 4 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 Riya Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Riya Patel accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 15 other insurers list Riya 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 Riya Patel was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 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.