ANILKUMAR R. PATEL M.D.
NPI 1538188941
Internal Medicine in Plano, TX
About Anilkumar R. Patel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANILKUMAR R. PATEL M.D. (NPI 1538188941) is an individual internal medicine provider in Plano, Texas, licensed in Texas (M2004) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Alliancehealth Durant, and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Anilkumar R. Patel M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Anilkumar Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Denison, TX 75020
- Reassigned Medicare billing, Texas enrollment
- 112 clinicians in this Medicare group
Denison, TX 75020
- Reassigned Medicare billing, Texas enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Alliancehealth Durant
Acute Care Hospitals · Durant, OKTexoma Medical Center
Acute Care Hospitals · Denison, TXMedical Center Of Mckinney
Acute Care Hospitals · Mckinney, TXTmc- Bonham Hospital
Critical Access Hospitals · Bonham, TXBaylor Scott & White The Heart Hospital - Plano
Acute Care Hospitals · Plano, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Anilkumar Patel's NPI number?
The NPI number for Anilkumar Patel is 1538188941. It was assigned to this individual provider in the NPPES registry on July 18, 2006.
Where is Anilkumar Patel located?
Anilkumar Patel practices at 4116 W Spring Creek Pkwy Ste 400C, Plano, TX 75024. The listed phone number is (469) 983-5000.
What is Anilkumar Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Anilkumar Patel enrolled in Medicare?
Yes. Anilkumar 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.
Which organizations bill Medicare for Anilkumar Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anilkumar Patel reassigns Medicare benefits to 2 organizations: Hospitalist Medicine Physicians Of Texas - Burnet PLLC (Denison, TX) and Anilkumar Patel M D P A (Denison, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anilkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anilkumar 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 3 other insurers list Anilkumar 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 Anilkumar Patel affiliated with any hospitals?
According to CMS data, Anilkumar Patel is affiliated with Alliancehealth Durant, Texoma Medical Center, Medical Center Of Mckinney, Tmc- Bonham Hospital and Baylor Scott & White The Heart Hospital - Plano.
When was this NPI record last updated?
The NPPES record for Anilkumar Patel was last updated on March 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Anilkumar R. Patel, M.D. · NPI 1538188941
Internal Medicine physician in Plano, Texas. Individual provider, active in the CMS NPPES registry since July 18, 2006.
## Identity
- **NPI:** 1538188941 (Entity type: Individual)
- **Enumerated:** July 18, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** M2004 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4116 W SPRING CREEK PKWY STE 400C, Plano, TX 75024-5238
- **Phone:** (469) 983-5000 · **Fax:** (469) 983-5555
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hospitalist Medicine Physicians Of Texas - Burnet PLLC (NPI 1265275887, Denison, TX); Anilkumar Patel M D P A (NPI 1821386657, Denison, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** March 14, 2019
- **Other identifiers:** Medicaid 175876502 (TX); Medicaid 175876501 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1538188941) · Data from the CMS NPPES public registry.