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PRAVINA PATEL DMD
NPI 1427190743
Dentist in Houston, TX

Active since February 13, 2007PECOS Enrolled
5901 HILLCROFT ST, STE D6, HOUSTON, TX 77036(713) 781-1170(713) 781-6659 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pravina Patel Dmd NPPES

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

PRAVINA PATEL DMD (NPI 1427190743) is an individual dentist in Houston, Texas, licensed in Texas (20764) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427190743
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NamePRAVINA PATELCredential: DMD
Location Address5901 HILLCROFT ST, STE D6Houston, TX 77036
Mailing Address5901 Hillcroft St, Ste D6Houston, TX 77036 · (713) 781-1170 · Fax (713) 781-6659
Phone(713) 781-1170
Fax(713) 781-6659
Sole ProprietorNo
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1427190743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 20764
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5901 HILLCROFT ST, Houston, TX 77036
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Other Identifiers 2

Other01407989TX · United Concordia
OtherB2076401TX · Delta Dental Chip

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 (PECOS)

Pravina Patel Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 77036 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
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

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

KIRAN PATEL DDS
Dentist (General Practice)
5901 HILLCROFT ST, ST# D6
HOUSTON, TX 77036
Harris County (713) 781-1170

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 Pravina Patel's NPI number?

The NPI number for Pravina Patel is 1427190743. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Pravina Patel located?

Pravina Patel practices at 5901 Hillcroft St Ste D6, Houston, TX 77036. The listed phone number is (713) 781-1170.

What is Pravina Patel's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Pravina Patel enrolled in Medicare?

Yes. Pravina Patel is registered in the Medicare PECOS enrollment system.

What insurance does Pravina 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 15 other insurers list Pravina 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 Pravina Patel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.