DR. SONALI VIJESH PATEL M.D.
NPI 1588010227
Internal Medicine in Houston, TX

Q: What is Sonali Patel's NPI number?

The NPI number for Sonali Patel is 1588010227. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Q: What is Sonali Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sonali Patel was last updated on August 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 12, 2016PECOS EnrolledAccepts Medicare Assignment

18220 TOMBALL PKWY, HOUSTON, TX 77070(281) 737-0587 Get Directions Write a Review

NPPES record last updated: August 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2024, Feb 28, 2023, Nov 15, 2019 and 1 more (4 updates tracked since 2016).

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About Dr. Sonali Vijesh Patel M.d. NPPES

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

DR. SONALI VIJESH PATEL M.D. (NPI 1588010227) is an individual internal medicine provider in Houston, Texas, licensed in Texas (S4211) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Willowbrook Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1588010227

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. SONALI VIJESH PATELCredential: M.D.

Location Address18220 TOMBALL PKWYHouston, TX 77070-4347

Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000

Phone(281) 737-0587

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 12, 2016

Last NPPES UpdateAugust 18, 20244 updates tracked since enumeration

NPPES CertifiedAugust 18, 2024

✔ NPI 1588010227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · S4211

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License S4211 (TX)

18220 TOMBALL PKWY, Houston, TX 77070

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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

Dr. Sonali Vijesh 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.

PECOS PAC ID8123311800

PECOS Enrollment IDI20200528003150

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 8

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.

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.

324 services151 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

160 services158 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

93 services89 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.

36 services27 patients

Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236

This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.

18 services18 patients

Smoking and tobacco use intensive counseling, more than 10 minutes 99407

This service involves an in-depth discussion about the risks of smoking and tobacco use, spanning over 10 minutes. It provides personalized strategies to quit smoking, including coping techniques for withdrawal symptoms and triggers. The goal is to support your journey towards a healthier lifestyle.

15 services14 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450844

Location18220 State Highway 249Houston, TX 77070 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers41 claims41 services$62.55 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$28.52 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier23 claims23 services$30.68 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 20

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

MRS. CHRISTINA MARCUCCI MS, RD, LD

Dietitian, Registered

18220 TOMBALL PKWY, SUITE 300
HOUSTON, TX 77070

Harris County (281) 748-9050

NORTHWEST HOUSTON HEART CENTER,PA

Internal Medicine (Cardiovascular Disease)

18220 TOMBALL PKWY, SUITE, 205
HOUSTON, TX 77070

Harris County (281) 351-4911

DANIELLE SHERRELLE COMEAUX PA

Physician Assistant

18220 TOMBALL PKWY, SUITE 400
HOUSTON, TX 77070

Harris County (281) 737-0999

NELLY A HEIMAN MD

Obstetrics & Gynecology

18220 TOMBALL PKWY, SUITE 100
HOUSTON, TX 77070

Harris County (281) 737-1320

DR. DALBIR S PUREWAL M.D.

Family Medicine

18220 TOMBALL PKWY, SUITE 400
HOUSTON, TX 77070

Harris County (281) 737-0570

JIMMY HUU DO PHARMD

Pharmacist

18220 TOMBALL PKWY
HOUSTON, TX 77070

Harris County (281) 737-1411

CHUONG H. PHAM, MD, PA

Obstetrics & Gynecology

18220 TOMBALL PKWY, SUITE 210
HOUSTON, TX 77070

Harris County (832) 237-0222

DR. SHARAFALI Y DIWAN M.D.

Internal Medicine (Infectious Disease)

18220 TOMBALL PKWY, SUITE 230
HOUSTON, TX 77070

Harris County (832) 604-0005

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 Sonali Patel's NPI number?

The NPI number for Sonali Patel is 1588010227. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Where is Sonali Patel located?

Sonali Patel practices at 18220 Tomball Pkwy, Houston, TX 77070. The listed phone number is (281) 737-0587.

What is Sonali Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sonali Patel enrolled in Medicare?

Yes. Sonali 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 Sonali 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 2 other insurers list Sonali 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 Sonali Patel affiliated with any hospitals?

According to CMS data, Sonali Patel is affiliated with Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Sonali Patel was last updated on August 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.