PREMAL T PATEL M. D.
NPI 1427237627
Internal Medicine in Fort Worth, TX

Active since October 24, 2007PECOS EnrolledAccepts Medicare Assignment
1500 S MAIN ST, FORT WORTH, TX 76104(817) 927-3941 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Premal T Patel M. D. NPPES

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

PREMAL T PATEL M. D. (NPI 1427237627) is an individual internal medicine provider in Fort Worth, Texas, licensed in Texas (N1826) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Medical City Las Colinas, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1427237627
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePREMAL T PATELCredential: M. D.
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address306 Park Meadows DrEuless, TX 76039-4338
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 24, 2007
Last NPPES UpdateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
✔ NPI 1427237627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · N1826
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License N1826 (TX), A96682 (CA)
1500 S MAIN ST, Fort Worth, TX 76104

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

Premal T Patel M. D. 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 ID3971667346
PECOS Enrollment IDI20090129000394
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Premal Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 985 clinicians in this Medicare group
Pulmonary Disease
1650 W COLLEGE ST
Grapevine, TX 76051
  • Reassigned Medicare billing, Texas enrollment
  • 58 clinicians in this Medicare group
Internal Medicine
3535 S INTERSTATE 35 E
Denton, TX 76210
  • Reassigned Medicare billing, Texas enrollment
  • 90 clinicians in this Medicare group
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
Critical Care Medicine
710 CYPRESS CREEK PKWY
Houston, TX 77090
  • Reassigned Medicare billing, Texas enrollment
  • 88 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.

Areas of Expertise CMS Part B claims 4

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
220 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
28 services26 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
15 services14 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Medical City Las Colinas

Acute Care Hospitals · Irving, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450822
Location6800 N Macarthur BlvdIrving, TX 75039 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
36%213 patients2/55-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.

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.

Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104

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 Premal Patel's NPI number?

The NPI number for Premal Patel is 1427237627. It was assigned to this individual provider in the NPPES registry on October 24, 2007.

Where is Premal Patel located?

Premal Patel practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 927-3941.

What is Premal Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Premal Patel enrolled in Medicare?

Yes. Premal 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 Premal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Premal Patel reassigns Medicare benefits to 5 organizations: Acclaim Physician Group, Inc (Fort Worth, TX), Questcare Pulmonary In-Patient Services PLLC (Grapevine, TX), Questcare Intensivists PLLC (Denton, TX), Christus Trinity Clinic Texas (Tyler, TX) and Intensivist Medicine Services Of Tx, PLLC (Houston, 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 Premal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Premal Patel accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Premal 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.

Is Premal Patel affiliated with any hospitals?

According to CMS data, Premal Patel is affiliated with Medical City Las Colinas.

When was this NPI record last updated?

The NPPES record for Premal Patel was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.