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AMITKUMAR NATVARLAL PATEL MD
NPI 1346402781
Internal Medicine in Sugar Land, TX

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
68.93/100
CMS Quality Rating
16605 SOUTHWEST FWY, STE 175, SUGAR LAND, TX 77479(713) 777-5334(713) 429-5207 Get Directions Write a Review

NPPES record last updated: August 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amitkumar Natvarlal Patel Md NPPES

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

AMITKUMAR NATVARLAL PATEL MD (NPI 1346402781) is an individual internal medicine provider in Sugar Land, Texas, licensed in Texas (P0465) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1346402781
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameAMITKUMAR NATVARLAL PATELCredential: MD
Location Address16605 SOUTHWEST FWY, STE 175Sugar Land, TX 77479-0003
Mailing Address16605 Southwest Fwy, Ste 175Sugar Land, TX 77479-0003 · (713) 777-5334 · Fax (713) 429-5207
Phone(713) 777-5334
Fax(713) 429-5207
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 26, 2008
Last NPPES UpdateAugust 22, 2016
✔ NPI 1346402781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · P0465
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License P0465 (TX)
16605 SOUTHWEST FWY, Sugar Land, TX 77479
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Other Identifiers 6

Other3344834TX · Uhc
Other9650711TX · Aetna
Other8FY018TX · Bcbs Tx
Other502249YT8BTX · Medicare
Medicaid283950802TX
Other0844318TX · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Amitkumar Natvarlal 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 ID9537339239
PECOS Enrollment IDI20110908001729
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 8

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 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.
2,022 services473 patients
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.
245 services126 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
227 services219 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.
186 services177 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.
149 services148 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
134 services128 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

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.

68.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.15
Improvement Activities0
Cost83.57

Referred Medical Equipment & Supplies CMS DME claims 7

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers18 claims18 services$44.36 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
2 suppliers14 claims14 services$37.80 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
4 suppliers29 claims29 services$76.90 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$32.90 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers16 claims16 services$14.30 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.

DR. TOBY C YALTHO MD
Psychiatry & Neurology (Neurology)
16605 SOUTHWEST FWY, SUITE 600
SUGAR LAND, TX 77479
Fort Bend County (281) 494-6387
JOHN JUNGSIK PARK M.D.
Neurological Surgery
16605 SOUTHWEST FWY, SUITE 285
SUGAR LAND, TX 77479
Fort Bend County (281) 313-0031
ULISES BALTAZAR MD
Surgery (Vascular Surgery)
16605 SOUTHWEST FWY, SUITE 505
SUGAR LAND, TX 77479
Fort Bend County (281) 240-8400
YASHASH PATHAK M.D.
Hospitalist
16605 SOUTHWEST FWY, SUITE 175
SUGAR LAND, TX 77479
Fort Bend County (713) 777-5334
DR. IRFAN LALANI M.D.
Psychiatry & Neurology (Neurology)
16605 SOUTHWEST FWY, MEDICAL OFFICE BUILDING 3 SUITE 320
SUGAR LAND, TX 77479
Fort Bend County (281) 265-0225
TASNEEM BUDHWANI
Nurse Practitioner (Family)
16605 SOUTHWEST FWY
SUGAR LAND, TX 77479
Fort Bend County (713) 777-5334
ASMA FAZAL LAKHVA M.D.
Hospitalist
16605 SOUTHWEST FWY, SUITE 175
SUGAR LAND, TX 77479
Fort Bend County (713) 777-5334
TIMOTHY E OPPERMANN MD
Surgery
16605 SOUTHWEST FWY, SUITE 450
SUGAR LAND, TX 77479
Fort Bend County (281) 275-0860

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 Amitkumar Patel's NPI number?

The NPI number for Amitkumar Patel is 1346402781. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Amitkumar Patel located?

Amitkumar Patel practices at 16605 Southwest Fwy Ste 175, Sugar Land, TX 77479. The listed phone number is (713) 777-5334.

What is Amitkumar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Amitkumar Patel enrolled in Medicare?

Yes. Amitkumar 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 Amitkumar Patel accept?

Health plans from Blue Cross and Blue Shield of Texas list Amitkumar 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 Amitkumar Patel affiliated with any hospitals?

According to CMS data, Amitkumar Patel is affiliated with Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Amitkumar Patel was last updated on August 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.