DR. RAJ GOPESH PATEL M.D.
NPI 1609221787
Anesthesiology - Pain Medicine in Austin, TX
About Dr. Raj Gopesh Patel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAJ GOPESH PATEL M.D. (NPI 1609221787) is an individual pain medicine provider in Austin, Texas, licensed in Texas (T1805) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2016).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 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
Dr. Raj Gopesh 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 Reassignment
Medicare enrollment records show Raj Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austin, TX 78757
- Reassigned Medicare billing, Texas enrollment
- 29 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.
Areas of Expertise CMS Part B claims 28
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.
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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78757
AUSTIN, TX 78757
AUSTIN, TX 78757
AUSTIN, TX 78757
AUSTIN, TX 78757
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 Raj Patel's NPI number?
The NPI number for Raj Patel is 1609221787. It was assigned to this individual provider in the NPPES registry on April 26, 2016.
Where is Raj Patel located?
Raj Patel practices at 8015 Shoal Creek Blvd Ste 103, Austin, TX 78757. The listed phone number is (512) 467-7246.
What is Raj Patel's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Raj Patel enrolled in Medicare?
Yes. Raj 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 organization bills Medicare for Raj Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raj Patel reassigns Medicare benefits to Capitol Pain Institute, PA (Austin, TX). The 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 Raj Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raj Patel accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Raj 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 Raj Patel was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.