DR. PRATIK DOSHI M.D.
NPI 1457567620
Internal Medicine in Houston, TX

Q: What is Pratik Doshi's NPI number?

The NPI number for Pratik Doshi is 1457567620. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Q: What is Pratik Doshi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pratik Doshi was last updated on May 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment

82.38/100

CMS Quality Rating

6431 FANNIN ST, JJL 435, DEPARTMENT OF EMERGENCY MEDICINE, HOUSTON, TX 77030(713) 500-6838 Get Directions Write a Review

NPPES record last updated: May 11, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Pratik Doshi M.d. NPPES

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

DR. PRATIK DOSHI M.D. (NPI 1457567620) is an individual internal medicine provider in Houston, Texas, licensed in Texas (N1307) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1457567620

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. PRATIK DOSHICredential: M.D.

Location Address6431 FANNIN ST, JJL 435, DEPARTMENT OF EMERGENCY MEDICINEHouston, TX 77030-1501

Mailing Address6431 Fannin St, Jjl 435, Department Of Emergency MedicineHouston, TX 77030-1501 · (713) 500-6838

Phone(713) 500-6838

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateMay 15, 2007

Last NPPES UpdateMay 11, 2016

✔ NPI 1457567620 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 · N1307

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 ListedEmergency MedicineTaxonomy 207P00000X · License N1307 (TX)

6431 FANNIN ST, Houston, TX 77030

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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 and accepts Medicare assignment

Dr. Pratik Doshi 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 ID5698845600

PECOS Enrollment IDI20081118000187

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.

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.

99 services54 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.

67 services44 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.

16 services16 patients

Emergent insertion of breathing tube into windpipe using an endoscope 31500

This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450068

Location6411 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

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

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

82.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.23

Promoting Interoperability

100

Improvement Activities

Cost

58.5

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.

DR. STUART MASON FRASER M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

6431 FANNIN ST, MSB 3.151
HOUSTON, TX 77030

Harris County (713) 500-5800

AMY ROSSI MD

Emergency Medicine

6431 FANNIN ST, JJL 431
HOUSTON, TX 77030

Harris County (713) 500-7882

MATTHEW KHOA NGUYEN

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-6113

MARY WAYNE PELTIER MD

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-5010

HANNA MAVRIC DO

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-7882

DR. DAVIDE CATTANO MD

Anesthesiology

6431 FANNIN ST, MSB 5.020
HOUSTON, TX 77030

Harris County (713) 500-6235

MICHAEL ANTHONY HOLZMAN

Orthopaedic Surgery

6431 FANNIN ST, SUITE JJL 310
HOUSTON, TX 77030

Harris County (713) 500-5154

SHUBHANGI MEHRA

Student in an Organized Health Care Education/Training Program

6431 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 500-0798

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 Pratik Doshi's NPI number?

The NPI number for Pratik Doshi is 1457567620. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Pratik Doshi located?

Pratik Doshi practices at 6431 Fannin St Jjl 435, Department Of Emergency Medicine, Houston, TX 77030. The listed phone number is (713) 500-6838.

What is Pratik Doshi's specialty?

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

Is Pratik Doshi enrolled in Medicare?

Yes. Pratik Doshi 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 Pratik Doshi accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Pratik Doshi 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 Pratik Doshi affiliated with any hospitals?

According to CMS data, Pratik Doshi is affiliated with Memorial Hermann - Texas Medical Center and Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Pratik Doshi was last updated on May 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.