VISHAL PATEL MD
NPI 1356796437
Obstetrics & Gynecology in Houston, TX

Active since April 26, 2016PECOS EnrolledAccepts Medicare Assignment
6620 MAIN ST SUITE H1300, HOUSTON, TX 77030(713) 797-1144(832) 825-7778 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2026, Aug 6, 2024 (2 updates tracked since 2024).

About Vishal Patel Md NPPES

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

VISHAL PATEL MD (NPI 1356796437) is an individual obstetrics & gynecology provider in Houston, Texas, licensed in Texas (S6478) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of Saint Louis University School Of Medicine (2016).

NPPES Registry Identity

NPI1356796437
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameVISHAL PATELCredential: MD
Location Address6620 MAIN ST SUITE H1300Houston, TX 77030-2331
Mailing Address6620 Main St Ste H1300Houston, TX 77030-2348 · (713) 797-1144 · Fax (832) 825-7778
Fax(832) 825-7778
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2016
Enumeration DateApril 26, 2016
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1356796437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · S6478
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6620 MAIN ST SUITE H1300, Houston, TX 77030

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

Vishal 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 ID2466876602
PECOS Enrollment IDI20200721004425
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

2

Medicare enrollment records show Vishal Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 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.

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
6620 MAIN ST SUITE H1300
HOUSTON, TX 77030
Obstetrics & Gynecology
6620 MAIN ST SUITE H1300
HOUSTON, TX 77030
Obstetrics & Gynecology
6620 MAIN ST SUITE H1300
HOUSTON, TX 77030
Obstetrics & Gynecology
6620 MAIN ST SUITE H1300
HOUSTON, TX 77030
Obstetrics & Gynecology
6620 MAIN ST SUITE H1300
HOUSTON, TX 77030
Obstetrics & Gynecology
6620 MAIN ST SUITE H1300
HOUSTON, TX 77030
Obstetrics & Gynecology (Maternal & Fetal Medicine)
6620 MAIN ST SUITE H1300
HOUSTON, TX 77030

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 Vishal Patel's NPI number?

The NPI number for Vishal Patel is 1356796437. It was assigned to this individual provider in the NPPES registry on April 26, 2016.

Where is Vishal Patel located?

Vishal Patel practices at 6620 Main St Suite H1300, Houston, TX 77030. The listed phone number is (713) 797-1144.

What is Vishal Patel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Vishal Patel enrolled in Medicare?

Yes. Vishal 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 Vishal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vishal Patel reassigns Medicare benefits to 2 organizations: Texas Children's Physician Group (Houston, TX) and Ut Physicians (Houston, TX). 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 Vishal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vishal Patel 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 3 other insurers list Vishal 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 Vishal Patel affiliated with any hospitals?

According to CMS data, Vishal Patel is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Vishal Patel was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.