1. Home
  2. Directory
  3. Texas
  4. Sugar Land
  5. Internal Medicine
  6. NPI Profile

RUPERT PATEL MD
NPI 1528032042
Internal Medicine - Nephrology in Sugar Land, TX

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
1400 CREEK WAY DR, # 231 A, SUGAR LAND, TX 77478(832) 999-4360 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rupert Patel Md NPPES

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

RUPERT PATEL MD (NPI 1528032042) is an individual nephrology provider in Sugar Land, Texas, licensed in Texas (L5868) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of University Of Texas Medical School At San Antonio (2000).

NPPES Registry Identity

NPI1528032042
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameRUPERT PATELCredential: MD
Location Address1400 CREEK WAY DR, # 231 ASugar Land, TX 77478-4072
Mailing Address1400 Creek Way Dr, # 231 ASugar Land, TX 77478-4072 · (832) 999-4360
Phone(832) 999-4360
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2000
Enumeration DateFebruary 13, 2006
Last NPPES UpdateNovember 14, 2014
✔ NPI 1528032042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · L5868
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License L5868 (TX)
Also ListedPediatrics · Pediatric NephrologyTaxonomy 2080P0210X · License L5868 (TX)
1400 CREEK WAY DR, Sugar Land, TX 77478
Open in Google Maps ↗

Other Identifiers 14

Medicaid1736191-01TX
Medicare PIN8F21772TX
Medicaid173619109TX
Medicaid173619106TX
Medicare UPINI24443
Medicare ID-Type Unspecified611712TX · Outside Harris Cnty
Medicaid173619105TX
Medicare PIN8F21136TX
Medicare PIN8F21786TX
Medicaid173619107TX
Other8BX844TX · Bcbs Individual Number
Medicaid173619108TX
Medicare PIN612111TX
Medicaid173619102TX

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

Rupert 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 ID4587615125
PECOS Enrollment IDI20050201000702
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 9

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.

Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
349 services14 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.
174 services49 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.
163 services30 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
104 services17 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.
79 services37 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
54 services13 patients

Hospital Affiliations CMS Care Compare 4

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

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

Hca Houston Healthcare West

Acute Care Hospitals · Houston, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450644
Location12141 Richmond AveHouston, TX 77082 · Harris County
Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

St Luke's Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670053
Location1317 Lake Pointe ParkwaySugar Land, TX 77478 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77478 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$4.20 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,700 services$0.59 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier14 claims1,680 services$0.32 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier14 claims1,680 services$0.92 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier14 claims18 services$11.93 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 7

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

QUALIFIED SURGICAL SERVICES PLLC
Surgery
1400 CREEK WAY DR, SUITE 201A
SUGAR LAND, TX 77478
Fort Bend County (973) 894-1263
HOUSTON SOUTHWEST COLON AND RECTAL CLINIC, PLLC
Surgery
1400 CREEK WAY DR, SUITE 100
SUGAR LAND, TX 77478
Fort Bend County (281) 615-9297
GULF COAST KIDNEY TREATMENT CENTERS PLLC
Internal Medicine (Nephrology)
1400 CREEK WAY DR, # 231A
SUGAR LAND, TX 77478
Fort Bend County (832) 999-4360
HEARING CENTER OF SUGAR LAND LLC
Audiologist
1400 CREEK WAY DR, 233
SUGAR LAND, TX 77478
Fort Bend County (214) 363-4327
COASTAL INPATIENT CONSULTANTS INC
Internal Medicine (Nephrology)
1400 CREEK WAY DR, # 231 A
SUGAR LAND, TX 77478
Fort Bend County (832) 999-4360
ROBERT B SMITH PA-C
Physician Assistant (Surgical)
1400 CREEK WAY DR, SUITE 201A
SUGAR LAND, TX 77478
Fort Bend County (832) 770-3180
KEY DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1400 CREEK WAY DR, SUITE 211
SUGAR LAND, TX 77478
Fort Bend County (832) 939-9772

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 Rupert Patel's NPI number?

The NPI number for Rupert Patel is 1528032042. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Rupert Patel located?

Rupert Patel practices at 1400 Creek Way Dr # 231 A, Sugar Land, TX 77478. The listed phone number is (832) 999-4360.

What is Rupert Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Rupert Patel enrolled in Medicare?

Yes. Rupert 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 Rupert Patel accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Rupert 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 Rupert Patel affiliated with any hospitals?

According to CMS data, Rupert Patel is affiliated with Memorial Hermann Hospital System, Hca Houston Healthcare West, Houston Methodist Sugarland Hospital and St Luke's Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Rupert Patel was last updated on November 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.