RESHMA SUTHAR PATEL MSN, RN, CPNP-AC
NPI 1558875393
Nurse Practitioner - Pediatrics, Critical Care in Houston, TX

Active since November 30, 2017PECOS EnrolledAccepts Medicare Assignment
18200 KATY FWY, HOUSTON, TX 77094(832) 227-1000 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 6, 2025, Jun 6, 2022, Mar 4, 2020 and 2 more (5 updates tracked since 2017).

About Reshma Suthar Patel Msn, Rn, Cpnp-ac NPPES

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

RESHMA SUTHAR PATEL MSN, RN, CPNP-AC (NPI 1558875393) is an individual pediatrics, critical care provider in Houston, Texas, licensed in Texas (1181855) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1558875393
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameRESHMA SUTHAR PATELCredential: MSN, RN, CPNP-AC
Location Address18200 KATY FWYHouston, TX 77094-1285
Mailing Address18200 Katy FwyHouston, TX 77094-1285 · (832) 227-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 30, 2017
Last NPPES UpdateJanuary 6, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1558875393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
Licenses✔ Licensed in TX · 1181855✔ Licensed in FL · 9475916
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 0024177593 (VA)
18200 KATY FWY, Houston, TX 77094

Secondary Practice Locations 3

Location 11850 SE 18th Ave Apt 3904Ocala, FL 34471-8248 · Phone (512) 431-4214
Location 2929 N Main StMarion, VA 24354-4117 · Phone (276) 783-8183 · Fax (276) 782-9267
Location 3607 Campus DrAbingdon, VA 24210-9700 · Phone (276) 575-4603 · Fax (276) 525-4608

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

Reshma Suthar Patel Msn, Rn, Cpnp-ac 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 ID244590032
PECOS Enrollment IDI20251210003096
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

3

Medicare enrollment records show Reshma Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
929 GESSNER RD STE 2700
Houston, TX 77024
  • Reassigned Medicare billing, Texas enrollment
  • 408 clinicians in this Medicare group
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
Emergency Medicine
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 284 clinicians in this Medicare group

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 77094 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Pediatrics)
18200 KATY FWY
HOUSTON, TX 77094
Nurse Practitioner (Pediatrics)
18200 KATY FWY
HOUSTON, TX 77094
Psychologist
18200 KATY FWY
HOUSTON, TX 77094
Physical Therapist (Sports)
18200 KATY FWY
HOUSTON, TX 77094
Physical Therapist (Sports)
18200 KATY FWY
HOUSTON, TX 77094
Physician Assistant
18200 KATY FWY
HOUSTON, TX 77094
Physician Assistant
18200 KATY FWY
HOUSTON, TX 77094
Pediatrics
18200 KATY FWY
HOUSTON, TX 77094

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 Reshma Patel's NPI number?

The NPI number for Reshma Patel is 1558875393. It was assigned to this individual provider in the NPPES registry on November 30, 2017.

Where is Reshma Patel located?

Reshma Patel practices at 18200 Katy Fwy, Houston, TX 77094. The listed phone number is (832) 227-1000.

What is Reshma Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Reshma Patel enrolled in Medicare?

Yes. Reshma 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 Reshma Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reshma Patel reassigns Medicare benefits to 3 organizations: Memorial Hermann Hospital Based Physician Group (Houston, TX), Texas Children's Physician Group (Houston, TX) and Tri-Cities Regional Emergency Physicians, PC (Johnson City, TN). 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 Reshma Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Reshma Patel accept?

Health plans from Antidote Health of TX, Community Health Choice, Moda Health Plan, Inc., Oscar Health and Oscar Insurance Company list Reshma 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 Reshma Patel was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.