POOJA R PATEL MD
NPI 1407106487
Obstetrics & Gynecology in Houston, TX
About Pooja R Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POOJA R PATEL MD (NPI 1407106487) is an individual obstetrics & gynecology provider in Houston, Texas, licensed in Texas (P1577) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Baylor College Of Medicine (2008).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Pooja R 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.
Medicare Billing Reassignments
3Medicare enrollment records show Pooja Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,296 clinicians in this Medicare group
Houston, TX 77204
- Reassigned Medicare billing, Texas enrollment
- 26 clinicians in this Medicare group
Galveston, TX 77555
- Reassigned Medicare billing, Texas enrollment
- 2,222 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 1407106487. It was assigned to this individual provider in the NPPES registry on September 17, 2012.
Where is Pooja Patel located?
Pooja Patel practices at 1504 Taub Loop, Houston, TX 77030. The listed phone number is (713) 526-4243.
What is Pooja Patel's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
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.
Which organizations bill Medicare for Pooja Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Patel reassigns Medicare benefits to 3 organizations: Baylor College Of Medicine (Houston, TX), Uh Health (Houston, TX) and Utmb Faculty Group Practice (Galveston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pooja Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pooja Patel accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Texas 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.
When was this NPI record last updated?
The NPPES record for Pooja Patel was last updated on July 9, 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.
# Pooja R Patel, MD · NPI 1407106487
Obstetrics & Gynecology physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since September 17, 2012.
## Identity
- **NPI:** 1407106487 (Entity type: Individual)
- **Enumerated:** September 17, 2012
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** P1577 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1504 TAUB LOOP, Houston, TX 77030-1608
- **Phone:** (713) 526-4243
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Baylor College Of Medicine (NPI 1053352914, Houston, TX); Uh Health (NPI 1114689320, Houston, TX); Utmb Faculty Group Practice (NPI 1942241146, Galveston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Baylor College Of Medicine, class of 2008
## Record status
- **NPPES last updated:** July 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1407106487) · Data from the CMS NPPES public registry.