NIRAL PATEL MD
NPI 1841479730
Family Medicine in Houston, TX

Q: What is Niral Patel's NPI number?

The NPI number for Niral Patel is 1841479730. It was assigned to this individual provider in the NPPES registry on October 29, 2007.

Q: What is Niral Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Niral Patel was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 29, 2007PECOS Enrolled

13550 EAST FWY, HOUSTON, TX 77015(713) 330-8993 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2021, May 24, 2021 (2 updates tracked since 2021).

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About Niral Patel Md NPPES

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

NIRAL PATEL MD (NPI 1841479730) is an individual family medicine provider in Houston, Texas, licensed in Texas (Q3261) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841479730

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNIRAL PATELCredential: MD

Location Address13550 EAST FWYHouston, TX 77015-5926

Mailing Address2540 Scenic Hills DrFriendswood, TX 77546-1456 · (701) 202-6786

Phone(713) 330-8993

Sole ProprietorNo

Enumeration DateOctober 29, 2007

Last NPPES UpdateMarch 21, 20242 updates tracked since enumeration

NPPES CertifiedMarch 21, 2024

✔ NPI 1841479730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · Q3261✔ Licensed in ND · TRL10233

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

13550 EAST FWY, Houston, TX 77015

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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)

Niral Patel Md 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 Reassignments

Medicare enrollment records show Niral Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medexpress Urgent Care Texas, P.A.

Same address

Urgent Care

13550 EAST FWY
Houston, TX 77015

Reassigned Medicare billing, Texas enrollment
47 clinicians in this Medicare group

NPI 1932617768 (713) 330-8993

Sanford Bismarck

1,213 mi

Multi-Specialty

565 S 7TH ST
Bismarck, ND 58504

Reassigned Medicare billing, North Dakota enrollment
779 clinicians in this Medicare group

NPI 1811941172 (701) 323-5550

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

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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77015 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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

Closing the Referral Loop: Receipt of Specialist Report

0%152 patients1/55-star benchmark: 87%

Controlling High Blood Pressure

49%39 patients3/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%68 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%1,325 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%213 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

17%1,138 patients1/55-star benchmark: 98%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 227 patients

Patients totalRate: 3% · 227 patients

3%227 patients4/55-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 2

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

MS. HILLARY RUTH GOODWIN-YILDIZ APRN, FNP-BC

Nurse Practitioner

13550 EAST FWY
HOUSTON, TX 77015

Harris County (713) 330-8993

MEDEXPRESS URGENT CARE TEXAS, P.A.

Clinic/Center (Urgent Care)

13550 EAST FWY
HOUSTON, TX 77015

Harris County (713) 330-8993

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 Niral Patel's NPI number?

The NPI number for Niral Patel is 1841479730. It was assigned to this individual provider in the NPPES registry on October 29, 2007.

Where is Niral Patel located?

Niral Patel practices at 13550 East Fwy, Houston, TX 77015. The listed phone number is (713) 330-8993.

What is Niral Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Niral Patel enrolled in Medicare?

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

Which organizations bill Medicare for Niral Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niral Patel reassigns Medicare benefits to 2 organizations: Medexpress Urgent Care Texas, P.A. (Houston, TX) and Sanford Bismarck (Bismarck, ND). 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 Niral Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niral Patel accept?

Health plans from Blue Cross and Blue Shield of Texas list Niral 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 Niral Patel was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.