ASHVINKUMAR N PATEL M.D.
NPI 1528129871
Internal Medicine - Nephrology in Wichita Falls, TX

Q: What is Ashvinkumar Patel's NPI number?

The NPI number for Ashvinkumar Patel is 1528129871. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Ashvinkumar Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ashvinkumar Patel was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 12, 2006PECOS Enrolled

7.3/100

CMS Quality Rating

1517 10TH ST, WICHITA FALLS, TX 76301(940) 322-1411(940) 322-2120 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ashvinkumar N Patel M.d. NPPES

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

ASHVINKUMAR N PATEL M.D. (NPI 1528129871) is an individual nephrology provider in Wichita Falls, Texas, licensed in Texas (K1614) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1528129871

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameASHVINKUMAR N PATELCredential: M.D.

Location Address1517 10TH STWichita Falls, TX 76301-4404

Mailing Address1517 10th StWichita Falls, TX 76301-4404 · (940) 322-1411 · Fax (940) 322-2120

Phone(940) 322-1411

Fax(940) 322-2120

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateDecember 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1528129871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TX · K1614

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.

1517 10TH ST, Wichita Falls, TX 76301

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Other Identifiers 1

Medicare UPING16550TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashvinkumar N Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113835448

PECOS Enrollment IDI20050129000180

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 15

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.

Injection, darbepoetin alfa, 1 microgram (non-esrd use) J0881

Darbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.

28,601 services21 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.

2,637 services1,169 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.

1,710 services379 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.

475 services67 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.

408 services93 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

382 services269 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.

328 services100 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

243 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

236 services236 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

147 services21 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

142 services142 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

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 canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

64 services37 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.

62 services59 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

35 services24 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450010

Location1600 11th StreetWichita Falls, TX 76301 · Wichita County

Emergency services Birthing friendly

Childress Regional Medical Center

Acute Care Hospitals · Childress, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450369

LocationHwy 83 NorthChildress, TX 79201 · Childress County

Emergency services Birthing friendly

Wilbarger General Hospital

Acute Care Hospitals · Vernon, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450584

Location920 Hillcrest DrVernon, TX 76384 · Wilbarger County

Emergency services

Seymour Hospital

Critical Access Hospitals · Seymour, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451399

Location200 Stadium DriveSeymour, TX 76380 · Baylor County

Emergency services

Graham Regional Medical Center

Critical Access Hospitals · Graham, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number671300

Location1301 Montgomery RoadGraham, TX 76450 · Young County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76301 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.

7.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

24.34

Reported Quality Measures

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.

94%4,398 patients4/55-star benchmark: 100%

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.

86%377 patients4/55-star benchmark: 100%

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.

100%1,146 patients5/55-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.

95%909 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

17%1,878 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 51% · 1,344 patients

Patients tobacco: 46% · 1,344 patients

1%83 patients1/55-star benchmark: 98%

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…

27%909 patients2/55-star benchmark: 100%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 1,179 patients

0%1,179 patients5/55-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 4

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

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

6 suppliers30 claims3,330 services$0.26 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

5 suppliers20 claims2,880 services$0.98 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

5 suppliers25 claims25 services$17.44 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

5 suppliers30 claims30 services$12.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 4

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

CLAUDIA GOODSETT

Internal Medicine (Nephrology)

1517 10TH ST
WICHITA FALLS, TX 76301

Wichita County (940) 322-1411

DR. RASHMIKANT MANKODI AND ASSOCIATES

Internal Medicine (Nephrology)

1517 10TH ST
WICHITA FALLS, TX 76301

Wichita County (940) 322-1411

WICHITA FALLS NEPHROLOGY ASSOCIATES, PLLC

Internal Medicine (Nephrology)

1517 10TH ST
WICHITA FALLS, TX 76301

Wichita County (940) 322-1411

ANNA CHRISTINE COX PHYSICIAN'S ASSISTAN

Physician Assistant

1517 10TH ST
WICHITA FALLS, TX 76301

Wichita County (940) 322-1411

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 Ashvinkumar Patel's NPI number?

The NPI number for Ashvinkumar Patel is 1528129871. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Ashvinkumar Patel located?

Ashvinkumar Patel practices at 1517 10th St, Wichita Falls, TX 76301. The listed phone number is (940) 322-1411.

What is Ashvinkumar Patel's specialty?

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

Is Ashvinkumar Patel enrolled in Medicare?

Yes. Ashvinkumar Patel is registered in the Medicare PECOS enrollment system.

What insurance does Ashvinkumar Patel accept?

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

According to CMS data, Ashvinkumar Patel is affiliated with United Regional Health Care System, Childress Regional Medical Center, Wilbarger General Hospital, Seymour Hospital and Graham Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ashvinkumar Patel was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.