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PRIYANKA PATEL
NPI 1790409894
Optometrist in Houston, TX

Active since October 03, 2022PECOS Enrolled
1020 WILLOWBROOK MALL STE 1020, HOUSTON, TX 77070(281) 894-5300 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Priyanka Patel NPPES

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

PRIYANKA PATEL (NPI 1790409894) is an individual optometrist in Houston, Texas, licensed in Texas (10643) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790409894
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NamePRIYANKA PATEL
Location Address1020 WILLOWBROOK MALL STE 1020Houston, TX 77070-5788
Mailing Address1433 W 23rd St Unit HHouston, TX 77008-2169
Phone(281) 894-5300
Sole ProprietorNo
Enumeration DateOctober 3, 2022
NPPES CertifiedOctober 2, 2022
✔ NPI 1790409894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 10643
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1020 WILLOWBROOK MALL STE 1020, Houston, TX 77070
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priyanka Patel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Priyanka Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Complete Eyecare PC
1.9 mi
Optometrist
5774 FM 1960 RD W
Houston, TX 77069
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1730586454 (281) 440-5887

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 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
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

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 Priyanka Patel's NPI number?

The NPI number for Priyanka Patel is 1790409894. It was assigned to this individual provider in the NPPES registry on October 3, 2022.

Where is Priyanka Patel located?

Priyanka Patel practices at 1020 Willowbrook Mall Ste 1020, Houston, TX 77070. The listed phone number is (281) 894-5300.

What is Priyanka Patel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Priyanka Patel enrolled in Medicare?

Yes. Priyanka Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Priyanka Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Patel reassigns Medicare benefits to Complete Eyecare PC (Houston, TX). The 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 Priyanka Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priyanka Patel accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Priyanka 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 Priyanka Patel was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.