DR. MANHARKUMAR PATEL MD
NPI 1558865162
Family Medicine in Austin, TX

Q: What is Manharkumar Patel's NPI number?

The NPI number for Manharkumar Patel is 1558865162. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Q: What is Manharkumar Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Manharkumar Patel was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.

Active since March 19, 2018PECOS Enrolled

1023 SPRINGDALE RD STE 13A, AUSTIN, TX 78721(760) 706-0457(708) 312-4077 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2026, Jul 26, 2026, Jan 9, 2026 and 6 more (9 updates tracked since 2018).

On this page

About Dr. Manharkumar Patel Md NPPES

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

DR. MANHARKUMAR PATEL MD (NPI 1558865162) is an individual family medicine provider in Austin, Texas, licensed in California (A173726) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558865162

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MANHARKUMAR PATELCredential: MD

Location Address1023 SPRINGDALE RD STE 13AAustin, TX 78721-2465

Mailing Address1023 Springdale Rd Ste 13aAustin, TX 78721-2465 · (760) 706-0457 · Fax (708) 312-4077

Phone(760) 706-0457

Fax(708) 312-4077

Sole ProprietorNo

Enumeration DateMarch 19, 2018

Last NPPES UpdateAugust 25, 20269 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1558865162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · A173726✔ Licensed in IL · 36154416

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1023 SPRINGDALE RD STE 13A, Austin, TX 78721

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, Highmark Blue Cross Blue Shield West Virginia and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Manharkumar Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Manharkumar Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osf Multi-Specialty Group

854 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1922445527 (309) 683-5050

Cloud Health Medical Group, P.A.

1,530 mi

Internal Medicine

75 S BROADWAY FL 4
White Plains, NY 10601

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Cloud Health Medical Group PA
3 clinicians in this Medicare group

NPI 1528744935 (602) 562-7383

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78721 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

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.

PIPPEN HEALTH OF KANSAS, P.A.

Internal Medicine

1023 SPRINGDALE RD STE 13A
AUSTIN, TX 78721

Travis County (512) 270-0190

PIPPEN HEALTH OF TEXAS, P.A., A TEXAS PROFESSIONAL ASSOCIATION

Internal Medicine

1023 SPRINGDALE RD STE 13A
AUSTIN, TX 78721

Travis County (512) 270-0190

KIRAN ALI

Dietitian, Registered

1023 SPRINGDALE RD STE 13A
AUSTIN, TX 78721

Travis County (512) 270-0190

PIPPEN HEALTH OF DELAWARE, PA

Internal Medicine

1023 SPRINGDALE RD STE 13A
AUSTIN, TX 78721

Travis County (512) 270-0190

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 Manharkumar Patel's NPI number?

The NPI number for Manharkumar Patel is 1558865162. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Manharkumar Patel located?

Manharkumar Patel practices at 1023 Springdale Rd Ste 13A, Austin, TX 78721. The listed phone number is (760) 706-0457.

What is Manharkumar Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Manharkumar Patel enrolled in Medicare?

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

Which organizations bill Medicare for Manharkumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manharkumar Patel reassigns Medicare benefits to 2 organizations: Osf Multi-Specialty Group (Peoria, IL) and Cloud Health Medical Group, P.A. (White Plains, NY). 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 Manharkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manharkumar Patel accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, Highmark Blue Cross Blue Shield West Virginia and Oscar Insurance Company list Manharkumar 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.

When was this NPI record last updated?

The NPPES record for Manharkumar Patel was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.