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DR. NIMESH PATEL OD
NPI 1396765723
Optometrist in Houston, TX

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
4401 MARTIN LUTHER KING BLVD, HOUSTON, TX 77204(713) 743-2020(713) 743-0963 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nimesh Patel Od NPPES

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

DR. NIMESH PATEL OD (NPI 1396765723) is an individual optometrist in Houston, Texas, licensed in Texas (7044) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2002).

NPPES Registry Identity

NPI1396765723
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. NIMESH PATELCredential: OD
Location Address4401 MARTIN LUTHER KING BLVDHouston, TX 77204-2020
Mailing Address4401 Martin Luther King BlvdHouston, TX 77204-2020 · (713) 743-2020 · Fax (713) 743-0963
Phone(713) 743-2020
Fax(713) 743-0963
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2002
Enumeration DateJuly 20, 2006
Last NPPES UpdateMay 17, 2022
NPPES CertifiedMay 17, 2022
✔ NPI 1396765723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in TX · 7044✔ Licensed in OK · 2396
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4401 MARTIN LUTHER KING BLVD, Houston, TX 77204
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Other Identifiers 2

Medicaid100846940AOK
Medicaid190556401TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Nimesh Patel Od 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 ID4284521642
PECOS Enrollment IDI20040301000880
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77204 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 20

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

JENNYFFER SMITH OD
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Harris County (713) 743-2020
SARAH SACHIKO TAKENAKA OD
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Harris County (713) 743-1921
ANNA-KAYE LOGAN OD
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Harris County (713) 743-2020
ASHTON CLAIRE WESTBROOK OD
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Harris County (713) 743-2020
DR. JOE LEONARD WHEAT O.D.
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Harris County (713) 743-2020
KIM SON DUONG OD
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Harris County (713) 743-2020
DR. NICOLE ALEXANDRA KARSON OD
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Harris County (713) 743-2020
JUSTINA RAOUF ASSAAD OD
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Harris County (713) 743-2020

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 Nimesh Patel's NPI number?

The NPI number for Nimesh Patel is 1396765723. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Nimesh Patel located?

Nimesh Patel practices at 4401 Martin Luther King Blvd, Houston, TX 77204. The listed phone number is (713) 743-2020.

What is Nimesh Patel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nimesh Patel enrolled in Medicare?

Yes. Nimesh 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 Nimesh Patel accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Nimesh 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.

When was this NPI record last updated?

The NPPES record for Nimesh Patel was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.