PRADIP J MORBIA MD
NPI 1396740239
Internal Medicine - Cardiovascular Disease in Port Arthur, TX

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3921 N TWIN CITY HWY, PORT ARTHUR, TX 77642(409) 963-0000(409) 963-1899 Get Directions Write a Review

NPPES record last updated: November 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2016, Aug 16, 2016 (2 updates tracked since 2016).

About Pradip J Morbia Md NPPES

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

PRADIP J MORBIA MD (NPI 1396740239) is an individual cardiovascular disease provider in Port Arthur, Texas, licensed in Texas (H6898) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1396740239
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NamePRADIP J MORBIACredential: MD
Location Address3921 N TWIN CITY HWYPort Arthur, TX 77642-2118
Mailing AddressPo Box 951406Dallas, TX 75395-1406 · (409) 963-0000 · Fax (409) 963-1899
Fax(409) 963-1899
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJune 16, 2005
Last NPPES UpdateNovember 11, 20162 updates tracked since enumeration
NPI 1396740239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · H6898
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License H6898 (TX)
3921 N TWIN CITY HWY, Port Arthur, TX 77642

Other Identifiers 6

Medicare PIN89T990TX
Medicaid131523605TX
Other00K02VTX · Group Medicare Number
OtherH6898TX · License No
Other060021396TX · Rr Medicare
Medicare UPINE19588TX

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

Pradip J Morbia 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 ID547163024
PECOS Enrollment IDI20100621000656
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 34

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.
1,323 services331 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
1,133 services265 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.
687 services319 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
494 services53 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.
325 services292 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
293 services276 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

The Medical Center Of Southeast Texas

Acute Care Hospitals · Port Arthur, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450518
Location2555 Jimmy Johnson BlvdPort Arthur, TX 77640 · Jefferson County
Emergency services Birthing friendly

Riceland Medical Center

Critical Access Hospitals · Winnie, TX
OwnershipProprietary
CMS Certification Number451328
Location538 BroadwayWinnie, TX 77665 · Chambers County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77642 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
$124.88 typical visit price
range $54.04 – $164.93
Typical copayment $31.22 (range $13.51 – $41.23)
Most-billed visit code 99204
Established Patient
$67.64 typical visit price
range $17.17 – $134.47
Typical copayment $16.91 (range $4.29 – $33.61)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
79%936 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%4,419 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%1,109 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%151 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers15 claims16 services$64.40 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers11 claims24 services$24.49 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers18 claims18 services$44.17 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers22 claims23 services$13.65 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers19 claims19 services$9.44 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers26 claims153 services$1.69 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 6

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

Internal Medicine (Cardiovascular Disease)
3921 N TWIN CITY HWY
PORT ARTHUR, TX 77642
Internal Medicine (Cardiovascular Disease)
3921 N TWIN CITY HWY
PORT ARTHUR, TX 77642
Internal Medicine (Cardiovascular Disease)
3921 N TWIN CITY HWY
PORT ARTHUR, TX 77642
Specialist
3921 N TWIN CITY HWY
PORT ARTHUR, TX 77642
Specialist
3921 N TWIN CITY HWY
PORT ARTHUR, TX 77642
Internal Medicine (Cardiovascular Disease)
3921 N TWIN CITY HWY
PORT ARTHUR, TX 77642

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 Pradip Morbia's NPI number?

The NPI number for Pradip Morbia is 1396740239. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Pradip Morbia located?

Pradip Morbia practices at 3921 N Twin City Hwy, Port Arthur, TX 77642. The listed phone number is (409) 963-0000.

What is Pradip Morbia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Pradip Morbia enrolled in Medicare?

Yes. Pradip Morbia 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 Pradip Morbia 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 4 other insurers list Pradip Morbia 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 Pradip Morbia affiliated with any hospitals?

According to CMS data, Pradip Morbia is affiliated with Christus Southeast Texas- St Elizabeth, The Medical Center Of Southeast Texas and Riceland Medical Center.

When was this NPI record last updated?

The NPPES record for Pradip Morbia was last updated on November 11, 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.