1. Home
  2. Directory
  3. Massachusetts
  4. Worcester
  5. Internal Medicine
  6. NPI Profile

PARTH PATEL M.D.
NPI 1457779407
Internal Medicine in Worcester, MA

Active since April 06, 2014PECOS EnrolledAccepts Medicare Assignment
123 SUMMER ST STE 7350, WORCESTER, MA 01608(508) 363-6849(508) 363-7461 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2022, Nov 2, 2021, Jun 19, 2021 and 4 more (7 updates tracked since 2018).

About Parth Patel M.d. NPPES

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

PARTH PATEL M.D. (NPI 1457779407) is an individual internal medicine provider in Worcester, Massachusetts, licensed in Texas (R8639) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1457779407
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePARTH PATELCredential: M.D.
Location Address123 SUMMER ST STE 7350Worcester, MA 01608-1216
Mailing Address55 Lake Ave NWorcester, MA 01655-0002 · (508) 334-1000
Phone(508) 363-6849
Fax(508) 363-7461
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 6, 2014
Last NPPES UpdateFebruary 19, 20267 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
✔ NPI 1457779407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · R8639✔ Licensed in WV · WV-SE-1766
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 ListedHospitalistTaxonomy 208M00000X · License WV-SE-1766 (WV)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
123 SUMMER ST STE 7350, Worcester, MA 01608
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-1200 · Fax (304) 598-1699
Location 255 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-1000
Location 311109 Parkview Plaza DrFort Wayne, IN 46845-1701 · Phone (260) 266-2020 · Fax (260) 266-2009

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, Oscar Insurance Company.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

Parth 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 ID9032337852
PECOS Enrollment IDI20211112000347
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 6

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.

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.
490 services185 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
215 services209 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
174 services166 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
161 services157 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services24 patients
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.
24 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450647
Location7777 Forest LaneDallas, TX 75230 · Dallas County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01608 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers17 claims17 services$15.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers17 claims17 services$73.97 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 3

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

AHMED K. GAYED M.D.
Hospitalist
123 SUMMER ST STE 7350
WORCESTER, MA 01608
Worcester County (508) 363-6849
JAYANTHI KRISHNAPRAKASH MD
Hospitalist
123 SUMMER ST STE 7350
WORCESTER, MA 01608
Worcester County (508) 363-6849
MICHAEL COREY ZAPLIN MD
Hospitalist
123 SUMMER ST STE 7350
WORCESTER, MA 01608
Worcester County (508) 363-6849

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 Parth Patel's NPI number?

The NPI number for Parth Patel is 1457779407. It was assigned to this individual provider in the NPPES registry on April 6, 2014.

Where is Parth Patel located?

Parth Patel practices at 123 Summer St Ste 7350, Worcester, MA 01608. The listed phone number is (508) 363-6849.

What is Parth Patel's specialty?

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

Is Parth Patel enrolled in Medicare?

Yes. Parth 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 Parth Patel accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource and Oscar Insurance Company list Parth 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 Parth Patel affiliated with any hospitals?

According to CMS data, Parth Patel is affiliated with Texoma Medical Center, Medical City Dallas Hospital and Medical City Plano.

When was this NPI record last updated?

The NPPES record for Parth Patel was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.