DR. TRUSHAR B PATEL M.D.
NPI 1639378599
Internal Medicine - Gastroenterology in Oklahoma City, OK

Active since July 12, 2007PECOS EnrolledAccepts Medicare Assignment
89.86/100
CMS Quality Rating
5401 N PORTLAND AVE STE 540, OKLAHOMA CITY, OK 73112(405) 604-6217(405) 602-1873 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 8, 2024, Feb 8, 2016, Jan 19, 2016 (3 updates tracked since 2016).

About Dr. Trushar B Patel M.d. NPPES

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

DR. TRUSHAR B PATEL M.D. (NPI 1639378599) is an individual gastroenterology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (31150) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1639378599
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. TRUSHAR B PATELCredential: M.D.
Location Address5401 N PORTLAND AVE STE 540Oklahoma City, OK 73112-2092
Mailing Address3001 Quail Springs Pkwy Fl 5Oklahoma City, OK 73134-2640 · (405) 604-6217 · Fax (405) 602-1873
Fax(405) 602-1873
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 12, 2007
Last NPPES UpdateMarch 8, 20243 updates tracked since enumeration
NPPES CertifiedMarch 8, 2024
NPI 1639378599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in OK · 31150
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License 31150 (OK)
5401 N PORTLAND AVE STE 540, Oklahoma City, OK 73112

Secondary Practice Location 1

Location 13300 NW ExpresswayOklahoma City, OK 73112-4418 · Phone (405) 949-3349 · Fax (405) 951-9860

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. Trushar B 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 ID5092871426
PECOS Enrollment IDI20150808015775
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 19

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
175 services163 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.
174 services112 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.
107 services107 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
99 services98 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
96 services95 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
62 services56 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370047
Location1011 14th Ave NWArdmore, OK 73401 · Carter County
Emergency services Birthing friendly

Mercy Hospital Kingfisher, Inc

Critical Access Hospitals · Kingfisher, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number371313
Location1000 Hospital DriveKingfisher, OK 73750 · Kingfisher County
Emergency services

Mercy Hospital Guthrie

Critical Access Hospitals · Guthrie, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number371317
Location200 S Academy RdGuthrie, OK 73044 · Logan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73112 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

89.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.63
Promoting Interoperability100
Improvement Activities40
Cost65.9

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers97 claims9,600 services$0.28 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers35 claims4,530 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers58 claims7,200 services$0.18 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,980 services$0.97 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims780 services$2.78 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
5 suppliers95 claims95 services$18.31 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 3

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

Internal Medicine (Gastroenterology)
5401 N PORTLAND AVE STE 540
OKLAHOMA CITY, OK 73112
Internal Medicine (Gastroenterology)
5401 N PORTLAND AVE STE 540
OKLAHOMA CITY, OK 73112
Surgery
5401 N PORTLAND AVE STE 540
OKLAHOMA CITY, OK 73112

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 Trushar Patel's NPI number?

The NPI number for Trushar Patel is 1639378599. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Trushar Patel located?

Trushar Patel practices at 5401 N Portland Ave Ste 540, Oklahoma City, OK 73112. The listed phone number is (405) 604-6217.

What is Trushar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Trushar Patel enrolled in Medicare?

Yes. Trushar 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 Trushar Patel accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and UnitedHealthcare list Trushar 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 Trushar Patel affiliated with any hospitals?

According to CMS data, Trushar Patel is affiliated with Mercy Hospital Oklahoma City, Inc, Integris Baptist Medical Center, Inc, Mercy Hospital Ardmore, Inc, Mercy Hospital Kingfisher, Inc and Mercy Hospital Guthrie.

When was this NPI record last updated?

The NPPES record for Trushar Patel was last updated on March 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.