DR. UMESH A PATEL MD, FACC
NPI 1629070826
Internal Medicine - Cardiovascular Disease in Covington, LA

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
39 STARBRUSH CIR, COVINGTON, LA 70433(985) 871-4155(985) 871-4483 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2021, Feb 15, 2017, Mar 30, 2016 (3 updates tracked since 2016).

About Dr. Umesh A Patel Md, Facc NPPES

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

DR. UMESH A PATEL MD, FACC (NPI 1629070826) is an individual cardiovascular disease provider in Covington, Louisiana, licensed in Louisiana (07406R) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1629070826
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. UMESH A PATELCredential: MD, FACC
Location Address39 STARBRUSH CIRCovington, LA 70433-7304
Mailing Address1810 Lindberg Dr Ste 2100Slidell, LA 70458-8064 · (985) 649-2700 · Fax (985) 649-8488
Fax(985) 871-4483
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJune 1, 2005
Last NPPES UpdateJanuary 5, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
NPI 1629070826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in LA · 07406R
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
39 STARBRUSH CIR, Covington, LA 70433

Other Identifiers 2

Medicaid1396044LA
Medicaid00112332MS

Accepted 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. Umesh A Patel Md, Facc 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 ID4688640907
PECOS Enrollment IDI20050121000745
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 23

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
197 services160 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
195 services151 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
180 services45 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
114 services26 patients
Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242
This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.
106 services94 patients
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244
A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
106 services94 patients

Hospital Affiliations CMS Care Compare 3

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Slidell Memorial Hospital

Acute Care Hospitals · Slidell, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190040
Location1001 Gause BlvdSlidell, LA 70458 · St. Tammany County
Emergency services Birthing friendly

St Tammany Parish Hospital

Acute Care Hospitals · Covington, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190045
Location1202 S Tyler StreetCovington, LA 70433 · St. Tammany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70433 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Infectious Disease)
39 STARBRUSH CIR
COVINGTON, LA 70433
Nurse Practitioner (Acute Care)
39 STARBRUSH CIR
COVINGTON, LA 70433
Pharmacy (Specialty Pharmacy)
39 STARBRUSH CIR
COVINGTON, LA 70433
Internal Medicine
39 STARBRUSH CIR
COVINGTON, LA 70433
Internal Medicine (Hematology & Oncology)
39 STARBRUSH CIR
COVINGTON, LA 70433
Internal Medicine (Interventional Cardiology)
39 STARBRUSH CIR
COVINGTON, LA 70433
Radiology (Diagnostic Radiology)
39 STARBRUSH CIR
COVINGTON, LA 70433
Internal Medicine (Interventional Cardiology)
39 STARBRUSH CIR
COVINGTON, LA 70433

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 Umesh Patel's NPI number?

The NPI number for Umesh Patel is 1629070826. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Umesh Patel located?

Umesh Patel practices at 39 Starbrush Cir, Covington, LA 70433. The listed phone number is (985) 871-4155.

What is Umesh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Umesh Patel enrolled in Medicare?

Yes. Umesh 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 Umesh Patel accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Umesh 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 Umesh Patel affiliated with any hospitals?

According to CMS data, Umesh Patel is affiliated with Ochsner Medical Center Acute, Slidell Memorial Hospital and St Tammany Parish Hospital.

When was this NPI record last updated?

The NPPES record for Umesh Patel was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.