DR. HAMISH SUNIL PATEL D.O.
NPI 1689023228
Internal Medicine - Pulmonary Disease in Fort Worth, TX

Active since June 04, 2016PECOS EnrolledAccepts Medicare Assignment
1201 FAIRMOUNT AVE, FORT WORTH, TX 76104(817) 335-5288(817) 338-0927 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 19, 2026, Jan 19, 2026, Nov 11, 2025 and 6 more (9 updates tracked since 2020).

About Dr. Hamish Sunil Patel D.o. NPPES

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

DR. HAMISH SUNIL PATEL D.O. (NPI 1689023228) is an individual pulmonary disease provider in Fort Worth, Texas, licensed in Texas (T4571) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Gulf Coast Hospital, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1689023228
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. HAMISH SUNIL PATELCredential: D.O.
Location Address1201 FAIRMOUNT AVEFort Worth, TX 76104-4215
Mailing Address440 Gibbons Creek TrlMckinney, TX 75071-1688 · (919) 334-8175
Fax(817) 338-0927
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 4, 2016
Last NPPES UpdateMarch 19, 20269 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1689023228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in TX · T4571✔ Licensed in GA · 110563
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License T4571 (TX), DO2025-0156 (NM), OS14865 (FL), UO5194 (FL)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 02008857A (IN), 010511 (AZ), 110563 (GA), T4571 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License 336155 (LA)
1201 FAIRMOUNT AVE, Fort Worth, TX 76104

Secondary Practice Locations 8

Location 111528 US Highway 19Port Richey, FL 34668-1442 · Phone (727) 868-2151
Location 2800 E Dawson StTyler, TX 75701-2036 · Phone (903) 606-5864
Location 3309 Jackson StMonroe, LA 71201-7407 · Phone (318) 966-4541 · Fax (318) 966-4543
Location 43427 Janna Grace WayLand O Lakes, FL 34638-7513 · Phone (919) 334-8175
Location 51201 Fairmount AveFort Worth, TX 76104-4215 · Phone (817) 335-5288 ext. 1810 · Fax (817) 338-0927
Location 6619 S Fleishel Ave Ste 100Tyler, TX 75701-2004 · Phone (903) 606-2830
Location 74215 Joe Ramsey Blvd EGreenville, TX 75401-7852 · Phone (903) 408-5000
Location 814000 Fivay RdHudson, FL 34667-7103 · Phone (727) 819-2966 · Fax (727) 819-2928

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. Hamish Sunil Patel D.o. 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 ID5496048639
PECOS Enrollment IDI20171010001501, I20220615000829, I20230512000527, I20250410001771, I20250709000069, I20260114001184, I20260220002246
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.

Medicare Billing Reassignments

16

Medicare enrollment records show Hamish Patel reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Disease
1201 FAIRMOUNT AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 52 clinicians in this Medicare group
General Acute Care Hospital
4215 JOE RAMSEY BLVD E
Greenville, TX 75401
  • Reassigned Medicare billing, Texas enrollment
  • 74 clinicians in this Medicare group
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
General Acute Care Hospital
800 E DAWSON ST
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 547 clinicians in this Medicare group
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, New Mexico enrollment
  • 251 clinicians in this Medicare group
General Acute Care Hospital
2211 LOMAS BLVD., N.E.
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 505 clinicians in this Medicare group
Family Medicine
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 466 clinicians in this Medicare group
Interventional Cardiology
395 N SILVERBELL RD STE 355
Tucson, AZ 85745
  • Reassigned Medicare billing, Arizona enrollment
  • 293 clinicians in this Medicare group
Critical Care Medicine
2901 W SWANN AVE
Tampa, FL 33609
  • Reassigned Medicare billing, Florida enrollment
  • 85 clinicians in this Medicare group
General Acute Care Hospital
501 MORRIS ST
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 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 7

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
168 services112 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.
49 services40 patients
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.
47 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100242
Location449 W 23rd StPanama City, FL 32405 · Bay County
Emergency services Birthing friendly

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390237
Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%28 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine (Pulmonary Disease)
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104
Internal Medicine (Critical Care Medicine)
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104
Physician Assistant
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104
Internal Medicine (Pulmonary Disease)
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104
Internal Medicine (Pulmonary Disease)
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104
Internal Medicine (Pulmonary Disease)
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104
Physician Assistant
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104
Physician Assistant
1201 FAIRMOUNT AVE
FORT WORTH, TX 76104

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 Hamish Patel's NPI number?

The NPI number for Hamish Patel is 1689023228. It was assigned to this individual provider in the NPPES registry on June 4, 2016.

Where is Hamish Patel located?

Hamish Patel practices at 1201 Fairmount Ave, Fort Worth, TX 76104. The listed phone number is (817) 335-5288.

What is Hamish Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Hamish Patel enrolled in Medicare?

Yes. Hamish 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 organizations bill Medicare for Hamish Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hamish Patel reassigns Medicare benefits to 16 organizations: Texas Pulmonary & Critical Care Consultants, PA (Fort Worth, TX), Hunt Memorial Hospital District (Greenville, TX), Christus Trinity Clinic Texas (Tyler, TX), Mother Frances Hospital Regional Health Care Center (Tyler, TX), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX) and 11 more organizations, listed in the Medicare section above. Each 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 Hamish Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hamish Patel accept?

Health plans from AmeriHealth Caritas Next, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and CareSource and 3 other insurers list Hamish 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 Hamish Patel affiliated with any hospitals?

According to CMS data, Hamish Patel is affiliated with Hca Florida Gulf Coast Hospital, Unm Hospital and Regional Hospital Of Scranton.

When was this NPI record last updated?

The NPPES record for Hamish Patel was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.