DR. GAURAV PATEL M.D.
NPI 1376922476
Internal Medicine - Interventional Cardiology in Tyler, TX

Active since May 21, 2015PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2608 MCDONALD RD, TYLER, TX 75701(903) 510-7262 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Gaurav Patel M.d. NPPES

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

DR. GAURAV PATEL M.D. (NPI 1376922476) is an individual interventional cardiology provider in Tyler, Texas, licensed in Texas (T1172) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1376922476
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. GAURAV PATELCredential: M.D.
Location Address2608 MCDONALD RDTyler, TX 75701-5934
Mailing Address2608 Mcdonald RdTyler, TX 75701-5934 · (903) 510-7262
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 21, 2015
Last NPPES UpdateJune 3, 2022
NPPES CertifiedJune 3, 2022
NPI 1376922476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in TX · T1172
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

2608 MCDONALD RD, Tyler, TX 75701

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. Gaurav Patel M.d. 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 ID2860793825
PECOS Enrollment IDI20220513001882
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 40

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 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.
664 services582 patients
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.
399 services285 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.
313 services309 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.
297 services223 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.
291 services132 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.
187 services178 patients

Hospital Affiliations CMS Care Compare 5

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Ut Health East Texas Jacksonville Hospital

Acute Care Hospitals · Jacksonville, TX
OwnershipProprietary
CMS Certification Number450194
Location501 S RagsdaleJacksonville, TX 75766 · Cherokee County
Emergency services Birthing friendly

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450389
Location2000 South Palestine StAthens, TX 75751 · Henderson County
Emergency services Birthing friendly

Ut Health East Texas Henderson Hospital

Acute Care Hospitals · Henderson, TX
OwnershipProprietary
CMS Certification Number450475
Location300 Wilson StreetHenderson, TX 75652 · Rusk County
Emergency services Birthing friendly

Ut Health East Texas Quitman Hospital

Critical Access Hospitals · Quitman, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number451380
Location117 Winnsboro StreetQuitman, TX 75783 · Wood County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
2608 MCDONALD RD
TYLER, TX 75701
Internal Medicine (Clinical Cardiac Electrophysiology)
2608 MCDONALD RD
TYLER, TX 75701
Internal Medicine (Cardiovascular Disease)
2608 MCDONALD RD
TYLER, TX 75701
Internal Medicine (Cardiovascular Disease)
2608 MCDONALD RD, STE 100
TYLER, TX 75701
Physician Assistant (Medical)
2608 MCDONALD RD
TYLER, TX 75701
Internal Medicine (Interventional Cardiology)
2608 MCDONALD RD, STE 100
TYLER, TX 75701
Internal Medicine (Interventional Cardiology)
2608 MCDONALD RD
TYLER, TX 75701
Internal Medicine (Cardiovascular Disease)
2608 MCDONALD RD
TYLER, TX 75701

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 Gaurav Patel's NPI number?

The NPI number for Gaurav Patel is 1376922476. It was assigned to this individual provider in the NPPES registry on May 21, 2015.

Where is Gaurav Patel located?

Gaurav Patel practices at 2608 Mcdonald Rd, Tyler, TX 75701. The listed phone number is (903) 510-7262.

What is Gaurav Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Gaurav Patel enrolled in Medicare?

Yes. Gaurav 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 Gaurav 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 2 other insurers list Gaurav 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 Gaurav Patel affiliated with any hospitals?

According to CMS data, Gaurav Patel is affiliated with Ut Health East Texas Tyler Regional Hospital, Ut Health East Texas Jacksonville Hospital, Ut Health East Texas Athens Hospital, Ut Health East Texas Henderson Hospital and Ut Health East Texas Quitman Hospital.

When was this NPI record last updated?

The NPPES record for Gaurav Patel was last updated on June 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.