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KOMAL PATEL
NPI 1689040537
Physician Assistant in Austin, TX

Active since August 14, 2015PECOS EnrolledAccepts Medicare Assignment
208 W BEN WHITE BLVD, AUSTIN, TX 78704(512) 861-8060 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2019, Sep 13, 2019 (2 updates tracked since 2019).

About Komal Patel NPPES

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

KOMAL PATEL (NPI 1689040537) is an individual physician assistant in Austin, Texas and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1689040537
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKOMAL PATEL
Location Address208 W BEN WHITE BLVDAustin, TX 78704-7126
Mailing Address208 W Ben White BlvdAustin, TX 78704-7126 · (512) 861-8060
Phone(512) 861-8060
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 14, 2015
Last NPPES UpdateSeptember 19, 20192 updates tracked since enumeration
✔ NPI 1689040537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
208 W BEN WHITE BLVD, Austin, TX 78704
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Other Names 1

Professional Name (2)Komal Patel Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc..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

Komal Patel 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 ID2860700663
PECOS Enrollment IDI20150928002510
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 8

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.

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.
111 services111 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.
106 services90 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
34 services33 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
22 services21 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
21 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78704 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

Other Providers at the Same Location NPPES 4

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

MRS. JENNIFER LAINE MSN, RN, FNP-C
Nurse Practitioner
208 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 861-8060
MEDSPRING OF TEXAS, PA
Clinic/Center (Urgent Care)
208 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 861-8060
HUYEN VU PA-C
Physician Assistant
208 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 351-4310
MARQUETTA ADAMS FNP
Nurse Practitioner
208 W BEN WHITE BLVD
AUSTIN, TX 78704
Travis County (512) 861-8060

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 Komal Patel's NPI number?

The NPI number for Komal Patel is 1689040537. It was assigned to this individual provider in the NPPES registry on August 14, 2015. The provider is also known as Komal Patel Pa-C.

Where is Komal Patel located?

Komal Patel practices at 208 W Ben White Blvd, Austin, TX 78704. The listed phone number is (512) 861-8060.

What is Komal Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Komal Patel enrolled in Medicare?

Yes. Komal 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 Komal Patel accept?

Health plans from Blue Cross and Blue Shield of Texas and Moda Health Plan, Inc. list Komal 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 Komal Patel was last updated on September 19, 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.