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DR. NIRAJ C PATEL MD
NPI 1831101336
Specialist in Sugar Land, TX

Active since August 12, 2006PECOS Enrolled
3525 TOWN CENTER BLVD S, SUGAR LAND, TX 77479(281) 499-4999(281) 657-6711 Get Directions Write a Review

NPPES record last updated: September 11, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Niraj C Patel Md NPPES

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

DR. NIRAJ C PATEL MD (NPI 1831101336) is an individual specialist in Sugar Land, Texas, licensed in Texas (K5373) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Sugarland Hospital, and is a graduate of University Of Texas Medical School At San Antonio (1995).

NPPES Registry Identity

NPI1831101336
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. NIRAJ C PATELCredential: MD
Location Address3525 TOWN CENTER BLVD SSugar Land, TX 77479-1285
Mailing Address3525 Town Center Blvd SSugar Land, TX 77479-1285 · (281) 499-4999 · Fax (281) 657-6711
Phone(281) 499-4999
Fax(281) 657-6711
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1995
Enumeration DateAugust 12, 2006
Last NPPES UpdateSeptember 11, 2014
✔ NPI 1831101336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · K5373
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3525 TOWN CENTER BLVD S, Sugar Land, TX 77479
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Other Identifiers 3

Medicare ID-Type Unspecified8136J2TX
Medicaid101810302TX
Medicare UPINH00600TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Niraj C Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082793419
PECOS Enrollment IDI20150512000534
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 Niraj Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fort Bend Ob Gyn
Same address
Specialist
3525 TOWN CENTER BLVD S
Sugar Land, TX 77479
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1306053145 (281) 499-4999

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 6

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.

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.
93 services59 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
46 services46 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
45 services45 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
43 services36 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
25 services15 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450848
Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%33 patients5/55-star benchmark: 100%
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%44 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
20%35 patients1/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%36 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 3

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

FORT BEND OB GYN
Specialist
3525 TOWN CENTER BLVD S
SUGAR LAND, TX 77479
Fort Bend County (281) 499-4999
DR. DEANNA DENE MCDONALD MD
Specialist
3525 TOWN CENTER BLVD S
SUGAR LAND, TX 77479
Fort Bend County (281) 499-4999
DR. DUC BUI LE MD
Specialist
3525 TOWN CENTER BLVD S
SUGAR LAND, TX 77479
Fort Bend County (281) 499-4999

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 Niraj Patel's NPI number?

The NPI number for Niraj Patel is 1831101336. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Niraj Patel located?

Niraj Patel practices at 3525 Town Center Blvd S, Sugar Land, TX 77479. The listed phone number is (281) 499-4999.

What is Niraj Patel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Niraj Patel enrolled in Medicare?

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

Which organization bills Medicare for Niraj Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niraj Patel reassigns Medicare benefits to Fort Bend Ob Gyn (Sugar Land, 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 Niraj Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niraj Patel accept?

Health plans from Blue Cross and Blue Shield of Texas list Niraj 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 Niraj Patel affiliated with any hospitals?

According to CMS data, Niraj Patel is affiliated with Houston Methodist Sugarland Hospital and Memorial Hermann Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Niraj Patel was last updated on September 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.