POOJA PATEL MD
NPI 1376166686
Emergency Medicine in San Antonio, TX

Active since May 20, 2020PECOS EnrolledAccepts Medicare Assignment
11503 NW MILITARY HWY STE 202, SAN ANTONIO, TX 78231(541) 913-2942 Get Directions Write a Review

NPPES record last updated: August 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2024, Jul 10, 2023, May 20, 2020 (3 updates tracked since 2020).

About Pooja Patel Md NPPES

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

POOJA PATEL MD (NPI 1376166686) is an individual emergency medicine provider in San Antonio, Texas, licensed in Texas (U2289) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376166686
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NamePOOJA PATELCredential: MD
Location Address11503 NW MILITARY HWY STE 202San Antonio, TX 78231-1895
Mailing Address11503 Nw Military Hwy Ste 202San Antonio, TX 78231-1895
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 20, 2020
Last NPPES UpdateAugust 3, 20243 updates tracked since enumeration
NPPES CertifiedAugust 3, 2024
NPI 1376166686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TX · U2289
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
11503 NW MILITARY HWY STE 202, San Antonio, TX 78231

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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

Pooja 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 ID2264850221
PECOS Enrollment IDI20240227000737
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
262 services256 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
81 services81 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Pecos County Memorial Hospital

Critical Access Hospitals · Fort Stockton, TX
OwnershipGovernment - Local
CMS Certification Number451389
Location387 West I 10Fort Stockton, TX 79735 · Pecos County
Emergency services

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78231 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 9

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

Emergency Medicine
11503 NW MILITARY HWY STE 202
SAN ANTONIO, TX 78231
Emergency Medicine
11503 NW MILITARY HWY STE 202
SAN ANTONIO, TX 78231
Emergency Medicine
11503 NW MILITARY HWY STE 202
SAN ANTONIO, TX 78231
Emergency Medicine
11503 NW MILITARY HWY STE 202
SAN ANTONIO, TX 78231
Emergency Medicine
11503 NW MILITARY HWY STE 202
SAN ANTONIO, TX 78231
Emergency Medicine
11503 NW MILITARY HWY STE 202
SAN ANTONIO, TX 78231
Emergency Medicine
11503 NW MILITARY HWY STE 202
SAN ANTONIO, TX 78231
Emergency Medicine
11503 NW MILITARY HWY STE 202
SAN ANTONIO, TX 78231

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 Pooja Patel's NPI number?

The NPI number for Pooja Patel is 1376166686. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Pooja Patel located?

Pooja Patel practices at 11503 NW Military Hwy Ste 202, San Antonio, TX 78231. The listed phone number is (541) 913-2942.

What is Pooja Patel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Pooja Patel enrolled in Medicare?

Yes. Pooja 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 Pooja Patel accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Pooja 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 Pooja Patel affiliated with any hospitals?

According to CMS data, Pooja Patel is affiliated with Methodist Hospital, Pecos County Memorial Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Pooja Patel was last updated on August 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.