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ANIL B PATEL MD
NPI 1457494379
Internal Medicine in Sugar Land, TX

Active since February 14, 2007PECOS Enrolled
1235 LAKE POINTE PKWY STE 201, SUGAR LAND, TX 77478(281) 491-6329(281) 491-6333 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Anil B Patel Md NPPES

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

ANIL B PATEL MD (NPI 1457494379) is an individual internal medicine provider in Sugar Land, Texas, licensed in Texas (TXL1423) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare West, and maintains a secondary practice location in Sugar Land.

NPPES Registry Identity

NPI1457494379
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANIL B PATELCredential: MD
Location Address1235 LAKE POINTE PKWY STE 201Sugar Land, TX 77478-4078
Mailing Address1235 Lake Pointe Pkwy Ste 201Sugar Land, TX 77478-4078 · (281) 491-6329 · Fax (281) 491-6333
Phone(281) 491-6329
Fax(281) 491-6333
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateFebruary 14, 2007
Last NPPES UpdateNovember 16, 2023
NPPES CertifiedNovember 14, 2023
✔ NPI 1457494379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · TXL1423
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.
1235 LAKE POINTE PKWY STE 201, Sugar Land, TX 77478
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Secondary Practice Location 1

Location 11111 HWY-6, SUITE-174SUGAR LAND, TX 77478 · Phone (281) 491-6329 · Fax (281) 491-6333

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anil B Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911913009
PECOS Enrollment IDI20060227000594
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 Reassignment

Medicare enrollment records show Anil Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fort Bend Primary Care P.A.
Same address
Internal Medicine
1235 LAKE POINTE PKWY STE 201
Sugar Land, TX 77478
  • Reassigned Medicare billing, Texas enrollment
NPI 1891911046 (281) 491-6329

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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
616 services170 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
282 services134 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
125 services123 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
117 services117 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
116 services116 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
64 services59 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Houston Healthcare West

Acute Care Hospitals · Houston, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450644
Location12141 Richmond AveHouston, TX 77082 · Harris County
Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77478 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers48 claims123 services$5.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers14 claims20 services$1.02 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers11 claims66 services$1.43 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier12 claims12 services$35.07 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$27.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

FORT BEND PRIMARY CARE P.A.
Internal Medicine
1235 LAKE POINTE PKWY STE 201
SUGAR LAND, TX 77478
Fort Bend County (281) 491-6329

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 Anil Patel's NPI number?

The NPI number for Anil Patel is 1457494379. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Anil Patel located?

Anil Patel practices at 1235 Lake Pointe Pkwy Ste 201, Sugar Land, TX 77478. The listed phone number is (281) 491-6329.

What is Anil Patel's specialty?

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

Is Anil Patel enrolled in Medicare?

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

Which organization bills Medicare for Anil Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anil Patel reassigns Medicare benefits to Fort Bend Primary Care P.A. (Sugar Land, TX). The 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 Anil Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anil 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 3 other insurers list Anil 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 Anil Patel affiliated with any hospitals?

According to CMS data, Anil Patel is affiliated with Hca Houston Healthcare West and Houston Methodist Sugarland Hospital.

When was this NPI record last updated?

The NPPES record for Anil Patel was last updated on November 16, 2023. 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.