NIRAV PATEL MD
NPI 1477058360
Pain Medicine - Pain Medicine in Rockwall, TX

Active since March 24, 2018PECOS EnrolledAccepts Medicare Assignment
3142 HORIZON RD STE 100, ROCKWALL, TX 75032(817) 442-9300 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2023, Aug 30, 2023, Mar 24, 2018 (3 updates tracked since 2018).

About Nirav Patel Md NPPES

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

NIRAV PATEL MD (NPI 1477058360) is an individual pain medicine provider in Rockwall, Texas, licensed in Texas (U3616) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477058360
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameNIRAV PATELCredential: MD
Location Address3142 HORIZON RD STE 100Rockwall, TX 75032-7815
Mailing Address3142 Horizon Rd # 10Rockwall, TX 75032-7809 · (817) 442-9300
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 24, 2018
Last NPPES UpdateSeptember 8, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
NPI 1477058360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License Licensed in TX · U3616
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
3142 HORIZON RD STE 100, Rockwall, TX 75032

Accepted 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

Nirav Patel Md 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 ID4789930108
PECOS Enrollment IDI20230925002965
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 20

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.
570 services343 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.
218 services178 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
152 services114 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
138 services130 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
113 services113 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
98 services97 patients

Hospital Affiliations CMS Care Compare 2

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Rockwall

Acute Care Hospitals · Rockwall, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670044
Location3150 Horizon RoadRockwall, TX 75032 · Rockwall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75032 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.

Other Providers at the Same Location NPPES 11

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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3142 HORIZON RD STE 100
ROCKWALL, TX 75032
Nurse Practitioner (Family)
3142 HORIZON RD STE 100
ROCKWALL, TX 75032
Physician Assistant (Surgical)
3142 HORIZON RD STE 100
ROCKWALL, TX 75032
Physician Assistant (Surgical)
3142 HORIZON RD STE 100
ROCKWALL, TX 75032
Physical Therapist
3142 HORIZON RD STE 100
ROCKWALL, TX 75032
Physical Therapist
3142 HORIZON RD STE 100
ROCKWALL, TX 75032
Physical Therapist
3142 HORIZON RD STE 100
ROCKWALL, TX 75032
Physician Assistant (Surgical)
3142 HORIZON RD STE 100
ROCKWALL, TX 75032

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 Nirav Patel's NPI number?

The NPI number for Nirav Patel is 1477058360. It was assigned to this individual provider in the NPPES registry on March 24, 2018.

Where is Nirav Patel located?

Nirav Patel practices at 3142 Horizon Rd Ste 100, Rockwall, TX 75032. The listed phone number is (817) 442-9300.

What is Nirav Patel's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Nirav Patel enrolled in Medicare?

Yes. Nirav 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 Nirav Patel 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 1 other insurer list Nirav 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 Nirav Patel affiliated with any hospitals?

According to CMS data, Nirav Patel is affiliated with Hunt Regional Medical Center and Texas Health Presbyterian Hospital Rockwall.

When was this NPI record last updated?

The NPPES record for Nirav Patel was last updated on September 8, 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.