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NEEL KRISHNAKANT PATEL M.D.
NPI 1396198933
Orthopaedic Surgery - Sports Medicine in Baytown, TX

Active since July 19, 2016PECOS EnrolledAccepts Medicare Assignment
99.14/100
CMS Quality Rating
1677 W BAKER RD STE 1701, BAYTOWN, TX 77521(281) 427-7400 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Neel Krishnakant Patel M.d. NPPES

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

NEEL KRISHNAKANT PATEL M.D. (NPI 1396198933) is an individual sports medicine provider in Baytown, Texas, licensed in Texas (U5197) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Baytown Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1396198933
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameNEEL KRISHNAKANT PATELCredential: M.D.
Location Address1677 W BAKER RD STE 1701Baytown, TX 77521-2422
Mailing Address1677 W Baker Rd Ste 1701Baytown, TX 77521-2422
Phone(281) 427-7400
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 19, 2016
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1396198933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in TX · U5197
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
1677 W BAKER RD STE 1701, Baytown, TX 77521
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, WellPoint.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

Neel Krishnakant 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 ID1052720562
PECOS Enrollment IDI20231127001738
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 10

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.

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.
110 services56 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
77 services18 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
73 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
46 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services35 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450424
Location4401 Garth RoadBaytown, TX 77521 · Harris County
Emergency services Birthing friendly

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.

99.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality93.89
Promoting Interoperability95
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

CHIA HENG WU MD
Orthopaedic Surgery (Hand Surgery)
1677 W BAKER RD STE 1701
BAYTOWN, TX 77521
Harris County (281) 427-7400
TMH PHYSICIAN ASSOCIATES PLLC
Orthopaedic Surgery
1677 W BAKER RD STE 1701
BAYTOWN, TX 77521
Harris County (281) 427-7400
STEPHEN GEORGE MELANCON PA-C, ATC
Physician Assistant
1677 W BAKER RD STE 1701
BAYTOWN, TX 77521
Harris County (281) 427-7400

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 Neel Patel's NPI number?

The NPI number for Neel Patel is 1396198933. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is Neel Patel located?

Neel Patel practices at 1677 W Baker Rd Ste 1701, Baytown, TX 77521. The listed phone number is (281) 427-7400.

What is Neel Patel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Neel Patel enrolled in Medicare?

Yes. Neel 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 Neel Patel accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and WellPoint list Neel 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 Neel Patel affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Neel Patel was last updated on March 19, 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.