SONAL ARVIND PATEL MD
NPI 1477812477
Internal Medicine in Huntsville, TX

Active since May 10, 2012PECOS EnrolledAccepts Medicare Assignment
110 MEMORIAL HOSPITAL DR, HUNTSVILLE, TX 77340(877) 832-2652(361) 371-8376 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sonal Arvind Patel Md NPPES

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

SONAL ARVIND PATEL MD (NPI 1477812477) is an individual internal medicine provider in Huntsville, Texas, licensed in Texas (Q6681) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Huntsville Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1477812477
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSONAL ARVIND PATELCredential: MD
Location Address110 MEMORIAL HOSPITAL DRHuntsville, TX 77340-4940
Mailing AddressPo Box 61160Corpus Christi, TX 78466-1160 · (361) 884-2904 · Fax (361) 371-8372
Fax(361) 371-8376
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 10, 2012
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
NPI 1477812477 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 · Q6681
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 Q6681 (TX)
110 MEMORIAL HOSPITAL DR, Huntsville, TX 77340

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

Sonal Arvind 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 ID9931413002
PECOS Enrollment IDI20160627002247
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 5

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 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.
259 services104 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.
131 services92 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.
115 services103 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.
60 services58 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Huntsville Memorial Hospital

Acute Care Hospitals · Huntsville, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450347
Location110 Memorial Hospital DriveHuntsville, TX 77340 · Walker County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77340 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.

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…
99%385 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%181 patients4/55-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.

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.

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
2 suppliers71 claims71 services$84.13 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers52 claims60 services$32.79 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 20

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

Student in an Organized Health Care Education/Training Program
110 MEMORIAL HOSPITAL DR
HUNTSVILLE, TX 77340
Student in an Organized Health Care Education/Training Program
110 MEMORIAL HOSPITAL DR
HUNTSVILLE, TX 77340
Student in an Organized Health Care Education/Training Program
110 MEMORIAL HOSPITAL DR
HUNTSVILLE, TX 77340
Nurse Practitioner (Gerontology)
110 MEMORIAL HOSPITAL DR
HUNTSVILLE, TX 77340
Occupational Therapist
110 MEMORIAL HOSPITAL DR
HUNTSVILLE, TX 77340
Hospitalist
110 MEMORIAL HOSPITAL DR
HUNTSVILLE, TX 77340
Physical Therapist
110 MEMORIAL HOSPITAL DR
HUNTSVILLE, TX 77340
Surgery (Vascular Surgery)
110 MEMORIAL HOSPITAL DR
HUNTSVILLE, TX 77340

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 Sonal Patel's NPI number?

The NPI number for Sonal Patel is 1477812477. It was assigned to this individual provider in the NPPES registry on May 10, 2012.

Where is Sonal Patel located?

Sonal Patel practices at 110 Memorial Hospital Dr, Huntsville, TX 77340. The listed phone number is (877) 832-2652.

What is Sonal Patel's specialty?

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

Is Sonal Patel enrolled in Medicare?

Yes. Sonal 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 Sonal Patel accept?

Health plans from Blue Cross and Blue Shield of Texas list Sonal 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 Sonal Patel affiliated with any hospitals?

According to CMS data, Sonal Patel is affiliated with Huntsville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sonal Patel was last updated on March 13, 2024. 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.