AMIT P PARIKH D.O
NPI 1821037227
Family Medicine - Sports Medicine in Cypress, TX

NPI Status: Active since June 05, 2006

Contact Information

14315 CYPRESS ROSEHILL RD
SUITE 180
CYPRESS, TX
ZIP 77429
Phone: (281) 373-9400
Fax: (281) 373-9404

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  • Individual
  • Male
  • Years of Experience 24
  • Family Medicine
  • Sports Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About AMIT PARIKH

Amit Parikh is a primary care provider established in Cypress, Texas and his medical specialization is Family Medicine with a focus in sports medicine with more than 24 years of experience. He graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2001. The healthcare provider is registered in the NPI registry with number 1821037227 assigned on June 2006. The practitioner's primary taxonomy code is 207QS0010X with license number L8156 (TX). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1821037227
Provider Name
AMIT P PARIKH D.O
Gender
Male
Entity Type
Individual
Location Address
14315 CYPRESS ROSEHILL RD SUITE 180 CYPRESS, TX 77429
Location Phone
(281) 373-9400
Location Fax
(281) 373-9404
Mailing Address
14315 CYPRESS ROSEHILL RD SUITE 180 CYPRESS, TX 77429
Mailing Phone
(281) 373-9400
Mailing Fax
(281) 373-9404
Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation Year
2001
Is Sole Proprietor?
Yes
Enumeration Date
06-05-2006
Last Update Date
12-23-2023
Code Navigator

A primary care provider (PCP) like Amit Parikh sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Amit Parikh is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.3 for a new patient copayment and $26.91 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Sports Medicine

Taxonomy Code
207QS0010X
Type
Allopathic & Osteopathic Physicians
License No.
L8156
License State
TX
Taxonomy Description
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Community Health Choice

    • Community Premier Bronze 003 (No deductible for PCP, Free Preventive Care, 24/7 Telehealth) - HMO
    • Community Premier Bronze 018 (No deductible for PCP, Specialists & Generics, Free 24/7 Telehealth) - HMO
    • Community Premier Gold 005 (No Deductible for PCP, Specialists & Generics, Free 24/7 Telehealth) - HMO
    • Community Premier Gold 021 (No Deductible for PCP, Specialists & Generics, Free 24/7 Telehealth) - HMO
    • Community Premier Silver 004 (No deductible for PCP, Specialists, Urgent Care & Generics, Free 24/7 Telehealth) - HMO
    • Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, Free 24/7 Telehealth) - HMO
    • Community Premier Silver 013 (No deductible for PCP, Specialists, Urgent Care & Generics, Free 24/7 Telehealth) - HMO
    • Community Premier Silver 020 (No Deductible for PCP, Specialists & Generics, Free 24/7 Telehealth) - HMO
    • Community Premier Virtual Bronze 011 (Unlimited Free 24/7 Virtual Visits) - HMO
    • Community Select Bronze 016 (No deductible for PCP & Generics, Free 24/7 Telehealth) - HMO
    • Community Select Gold 022 (No Deductible for PCP, Specialists & Generics, Free 24/7 Telehealth) - HMO
    • Community Select Silver 019 (No Deductible for PCP, Specialists & Generics, Free 24/7 Telehealth) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Amit Parikh is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5496751133

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20061019000627

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • Drugs Administered through DME (D1G)

    Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg (HCPCS:J7626)

    1 DME suppliers used 12 Medicare Claims 720 Services Paid

Drugs and Nutritional Products

  • Other drugs (O1E)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    3 DME suppliers used 14 Medicare Claims 14 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 77429 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $93.23
  • Minimum New Patient Price $60.64
  • Maximum New Patient Price $183.87
  • Average New Patient Copayment $23.3
  • Minimum New Patient Copayment $15.16
  • Maximum New Patient Copayment $45.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $107.65
  • Minimum Established Patient Price $18.93
  • Maximum Established Patient Price $150.28
  • Average Established Patient Copayment $26.91
  • Minimum Established Patient Copayment $4.73
  • Maximum Established Patient Copayment $37.57

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 33

    Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Amit Parikh is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MEMORIAL HERMANN - TEXAS MEDICAL CENTER6411 FANNIN
HOUSTON, TX 77030
(713) 704-3700Acute Care Hospitals
OAKBEND MEDICAL CENTER1705 JACKSON ST
RICHMOND, TX 77469
(281) 341-3000Acute Care Hospitals
HCA HOUSTON HEALTHCARE TOMBALL605 HOLDERRIETH
TOMBALL, TX 77375
(281) 351-1623Acute Care Hospitals

Reviews for AMIT P PARIKH D.O

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821037227
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2841031424
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 0 + 3 + 1 + 4 + 2 + 4 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1821037227 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528333911MICHELLE I-HSUAN LIN, PA
Organization
Dentist (Pediatric Dentistry)14315 CYPRESS ROSEHILL RD SUITE 100
CYPRESS, TX 77429
(281) 256-8585
1942543236CYPRESS MILL DENTAL
Organization
Dentist14315 CYPRESS ROSEHILL RD SUITE 150
CYPRESS, TX 77429
(281) 373-4533

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821037227, enumerated in the NPI registry as an "individual" on June 05, 2006

The provider is located at 14315 Cypress Rosehill Rd Suite 180 Cypress, Tx 77429 and the phone number is (281) 373-9400

The provider's speciality is Family Medicine with taxonomy code 207QS0010X with a focus in Sports Medicine

The provider has more than 24 years of experience. He graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2001.

The provider might be accepting Accepts: Community Health Choice. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $93.23 with an average copayment of $23.3 for new patient appointments. Established patients should expect a typical charge of $107.65 and an average copayment of 26.91. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance.

The practitioner is affiliated to the following hospital(s): MEMORIAL HERMANN - TEXAS MEDICAL CENTER, OAKBEND MEDICAL CENTER and HCA HOUSTON HEALTHCARE TOMBALL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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