DR. PARESH D. PATEL MD
NPI 1508022484
Internal Medicine - Pulmonary Disease in Houston, TX

Active since July 31, 2008PECOS EnrolledAccepts Medicare Assignment
85.04/100
CMS Quality Rating
13325 HARGRAVE RD STE 265, HOUSTON, TX 77070(281) 870-4567(281) 870-4884 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 18, 2021, May 7, 2020, May 21, 2018 and 3 more (6 updates tracked since 2017).

About Dr. Paresh D. Patel Md NPPES

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

DR. PARESH D. PATEL MD (NPI 1508022484) is an individual pulmonary disease provider in Houston, Texas, licensed in Texas (N3238) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and maintains a secondary practice location in Cypress.

NPPES Registry Identity

NPI1508022484
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PARESH D. PATELCredential: MD
Location Address13325 HARGRAVE RD STE 265Houston, TX 77070-1190
Mailing Address13325 Hargrave Rd Ste 265Houston, TX 77070-4539 · (281) 870-4567 · Fax (281) 870-4567
Fax(281) 870-4884
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 31, 2008
Last NPPES UpdateOctober 18, 20216 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
NPI 1508022484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TX · N3238
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License N3238 (TX)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License N3238 (TX)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License N3238 (TX)
13325 HARGRAVE RD STE 265, Houston, TX 77070

Secondary Practice Location 1

Location 127700 Northwest Fwy Ste 310, Lone Star Lung & Sleep ClinicCypress, TX 77433 · Phone (281) 870-4567 · Fax (281) 870-4884

Other Identifiers 4

Other8EA794TX · Blue Cross Blue Shield
Other29468712TX · Driver's Lic
Medicaid291923503TX
Medicaid291923502TX

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

Dr. Paresh D. 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 ID6103993662
PECOS Enrollment IDI20100408000369
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 34

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.

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
2,912 services394 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
2,195 services337 patients
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.
1,083 services516 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.
643 services134 patients
Evaluation of use of breathing device 94664
The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.
530 services351 patients
Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days 99091
This service involves gathering and analyzing health data from a patient, which is digitally stored and sent to a healthcare professional. This may include heart rate, blood pressure, or blood sugar levels. The process takes at least 30 minutes and is repeated every 30 days.
407 services99 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 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.

85.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.73
Promoting Interoperability100
Improvement Activities40
Cost42.07

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%6,803 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
69%465 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%477 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
43%908 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
75%908 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
15%908 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
32%908 patients
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 30

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
17 suppliers419 claims419 services$34.28 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
4 suppliers15 claims15 services$13.64 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers272 claims272 services$73.82 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
15 suppliers269 claims755 services$28.59 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
13 suppliers148 claims858 services$16.01 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers129 claims706 services$12.98 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.

Internal Medicine (Pulmonary Disease)
13325 HARGRAVE RD STE 265
HOUSTON, TX 77070
Internal Medicine
13325 HARGRAVE RD STE 265
HOUSTON, TX 77070
Internal Medicine (Sleep Medicine)
13325 HARGRAVE RD STE 265
HOUSTON, TX 77070

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 Paresh Patel's NPI number?

The NPI number for Paresh Patel is 1508022484. It was assigned to this individual provider in the NPPES registry on July 31, 2008.

Where is Paresh Patel located?

Paresh Patel practices at 13325 Hargrave Rd Ste 265, Houston, TX 77070. The listed phone number is (281) 870-4567.

What is Paresh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Paresh Patel enrolled in Medicare?

Yes. Paresh 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 Paresh Patel accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Paresh 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 Paresh Patel affiliated with any hospitals?

According to CMS data, Paresh Patel is affiliated with Memorial Hermann - Texas Medical Center, Hca Houston Healthcare Kingwood and Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Paresh Patel was last updated on October 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.