POOJA R PATEL MD
NPI 1407106487
Obstetrics & Gynecology in Houston, TX

Active since September 17, 2012PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
1504 TAUB LOOP, HOUSTON, TX 77030(713) 526-4243 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2024, Jul 28, 2023 (2 updates tracked since 2023).

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

NPI1407106487
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NamePOOJA R PATELCredential: MD
Location Address1504 TAUB LOOPHouston, TX 77030-1608
Mailing Address301 University BlvdGalveston, TX 77555-5302 · (409) 772-2222
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2008
Enumeration DateSeptember 17, 2012
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
NPI 1407106487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in TX · P1577
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1504 TAUB LOOP, Houston, TX 77030

Secondary Practice Locations 2

Location 1301 University BlvdGalveston, TX 77555-5302 · Phone (409) 772-2222
Location 24349 Martin Luther King Blvd Health 2 Bldg Suite 1001EHouston, TX 77204-5302 · Phone (713) 743-9682 · Fax (713) 743-1049

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

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.

PECOS PAC ID2466602040
PECOS Enrollment IDI20121016000558
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 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.

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.

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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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.

Internal Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP, EMERGENCY CENTER
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Internal Medicine (Infectious Disease)
1504 TAUB LOOP
HOUSTON, TX 77030
Obstetrics & Gynecology
1504 TAUB LOOP
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP
HOUSTON, TX 77030

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.

What insurance does Pooja 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 4 other insurers 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.