DR. AMIT GOKHALE M.D
NPI 1619283413
Pathology - Anatomic Pathology & Clinical Pathology in Houston, TX

Q: What is Amit Gokhale's NPI number?

The NPI number for Amit Gokhale is 1619283413. It was assigned to this individual provider in the NPPES registry on August 31, 2010.

Q: What is Amit Gokhale's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Amit Gokhale was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 August 31, 2010PECOS EnrolledAccepts Medicare Assignment

82.6/100

CMS Quality Rating

6621 FANNIN ST, HOUSTON, TX 77030(832) 824-6422 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2019, Aug 22, 2018, Sep 27, 2016 (3 updates tracked since 2016).

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About Dr. Amit Gokhale M.d NPPES

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

DR. AMIT GOKHALE M.D (NPI 1619283413) is an individual anatomic pathology & clinical pathology provider in Houston, Texas, licensed in Texas (S3387) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619283413

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. AMIT GOKHALECredential: M.D

Location Address6621 FANNIN STHouston, TX 77030

Mailing Address6621 Fannin StHouston, TX 77030-2358 · (832) 824-6422

Phone(832) 824-6422

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 31, 2010

Last NPPES UpdateSeptember 23, 20193 updates tracked since enumeration

✔ NPI 1619283413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in TX · S3387✔ Licensed in NY · 294483

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

6621 FANNIN ST, Houston, TX 77030

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Secondary Practice Locations 2

Location 1101 Nicolls RdStony Brook, NY 11794 · Phone (631) 689-8333

Location 220 York St, PS-329New Haven, CT 06510-3220 · Phone (203) 688-7326

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. Amit Gokhale 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 ID4587942560

PECOS Enrollment IDI20191029000204

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 2

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 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.

53 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services21 patients

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare Medical Center

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450659

Location1313 Hermann DrHouston, TX 77004 · Harris County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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.

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.

82.6/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.04

Improvement Activities

Cost

63.17

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.

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