DR. HENYKUMAR D PATEL MD
NPI 1851754550
Hospitalist in Lubbock, TX

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
74.84/100
CMS Quality Rating
3615 19TH ST, LUBBOCK, TX 79410(781) 472-9380 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 20, 2026, May 14, 2026, May 1, 2026 and 5 more (8 updates tracked since 2016).

About Dr. Henykumar D Patel Md NPPES

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

DR. HENYKUMAR D PATEL MD (NPI 1851754550) is an individual hospitalist provider in Lubbock, Texas, licensed in Texas (S0768) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Kaufman, and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1851754550
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. HENYKUMAR D PATELCredential: MD
Location Address3615 19TH STLubbock, TX 79410-1209
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 30, 2016
Last NPPES UpdateAugust 20, 20268 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1851754550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · S0768
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 14827-30 (WI), 76608 (TN), 5571297 (ID), 81615 (MN), IMLC.MD.70140563 (WA), S0768 (TX), CDR.0006412 (CO), 80150 (AZ)
3615 19TH ST, Lubbock, TX 79410

Secondary Practice Locations 9

Location 1267 N Canyon DrGooding, ID 83330-5500 · Phone (208) 934-4433
Location 2301 Tyson AveParis, TN 38242-4544 · Phone (731) 642-1220
Location 31311 N Mildred RdCortez, CO 81321-2231 · Phone (970) 565-6666
Location 4333 E 2nd StRichland Center, WI 53581-1914 · Phone (608) 647-6321
Location 5121 Dekalb Ave, House Staff AdministrationBrooklyn, NY 11201-5425 · Phone (718) 250-8000
Location 65880 S Hospital DrGlobe, AZ 85501-9447 · Phone (303) 390-1940
Location 71900 Sunrise DrSaint Peter, MN 56082-5376 · Phone (303) 390-1940
Location 81650 4th St SERochester, MN 55904-4717 · Phone (507) 529-6600
Location 91221 Highland AveClarkston, WA 99403-2829 · Phone (303) 390-1940

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Henykumar D Patel Md 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 ID4587901921
PECOS Enrollment IDI20190723003784, I20240926002617, I20250722000622, I20260213001822, I20260216000355, I20260217003271, I20260401002044, I20260402003939, I20260529002111
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

20

Medicare enrollment records show Henykumar Patel reassigns Medicare billing to 20 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Sound Inpatient Physicians Of Texas I, Inc
  • 478 clinicians in this Medicare group
Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group
Internal Medicine
2827 BABCOCK RD
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 83 clinicians in this Medicare group
Internal Medicine
600 N UNION AVE
New Braunfels, TX 78130
  • Reassigned Medicare billing, Texas enrollment
  • 101 clinicians in this Medicare group
Hospitalist
1008 MINNEQUA AVE
Pueblo, CO 81004
  • Reassigned Medicare billing, Colorado, Arizona, Idaho, Minnesota, Tennessee, Washington and Wisconsin enrollments
  • Also billed through NPI 1861808719 (Washington), NPI 1891236584 (Wisconsin)
  • 76 clinicians in this Medicare group
Internal Medicine
700 E MARSHALL AVE
Longview, TX 75601
  • Reassigned Medicare billing, Texas enrollment
  • 334 clinicians in this Medicare group
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
Internal Medicine
2531 VIKING DR
Bossier City, LA 71111
  • Reassigned Medicare billing, Louisiana enrollment
  • 104 clinicians in this Medicare group
Internal Medicine
600 ELIZABETH ST
Corpus Christi, TX 78404
  • Reassigned Medicare billing, Texas enrollment
  • 154 clinicians in this Medicare group
Internal Medicine
2830 CALDER ST
Beaumont, TX 77702
  • Reassigned Medicare billing, Texas enrollment
  • 103 clinicians in this Medicare group

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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
633 services597 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
58 services57 patients

Hospital Affiliations CMS Care Compare 5

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

Texas Health Presbyterian Hospital Kaufman

Acute Care Hospitals · Kaufman, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450292
Location850 Ed HallKaufman, TX 75142 · Kaufman County
Emergency services

Texas Health Presbyterian Hospital Dallas

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450462
Location8200 Walnut Hill LaneDallas, TX 75231 · Dallas County
Emergency services Birthing friendly

Christus Jasper Memorial Hospital

Acute Care Hospitals · Jasper, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450573
Location1275 Marvin Hancock DriveJasper, TX 75951 · Jasper County
Emergency services

Christus Spohn Hospital Alice

Acute Care Hospitals · Alice, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450828
Location2500 E Main StreetAlice, TX 78332 · Jim Wells County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Rockwall

Acute Care Hospitals · Rockwall, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670044
Location3150 Horizon RoadRockwall, TX 75032 · Rockwall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

74.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.54
Improvement Activities40
Cost35.94

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier21 claims21 services$17.63 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers36 claims37 services$94.06 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims16 services$35.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
3615 19TH ST
LUBBOCK, TX 79410
Physician Assistant
3615 19TH ST
LUBBOCK, TX 79410
Registered Nurse
3615 19TH ST
LUBBOCK, TX 79410
Registered Nurse
3615 19TH ST
LUBBOCK, TX 79410
Pathology (Anatomic Pathology & Clinical Pathology)
3615 19TH ST
LUBBOCK, TX 79410
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
3615 19TH ST
LUBBOCK, TX 79410
Dietitian, Registered
3615 19TH ST, THE LIFESTYLE CENTRE
LUBBOCK, TX 79410
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410

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 Henykumar Patel's NPI number?

The NPI number for Henykumar Patel is 1851754550. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Henykumar Patel located?

Henykumar Patel practices at 3615 19th St, Lubbock, TX 79410. The listed phone number is (781) 472-9380.

What is Henykumar Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Henykumar Patel enrolled in Medicare?

Yes. Henykumar 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.

Which organizations bill Medicare for Henykumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henykumar Patel reassigns Medicare benefits to 20 organizations: Sound Inpatient Physicians Of Texas 1, Inc (Fort Worth, TX), Cogent Healthcare Of Texas, PA (Dallas, TX), Bexar Physician Services, PLLC (San Antonio, TX), South Texas Physician Services, PLLC (New Braunfels, TX), Rural Physicians Group-Pannu PLLC (Pueblo, CO) and 15 more organizations, listed in the Medicare section above. 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 Henykumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Henykumar Patel accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, HMO Louisiana, Molina Healthcare and Select Health list Henykumar 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 Henykumar Patel affiliated with any hospitals?

According to CMS data, Henykumar Patel is affiliated with Texas Health Presbyterian Hospital Kaufman, Texas Health Presbyterian Hospital Dallas, Christus Jasper Memorial Hospital, Christus Spohn Hospital Alice and Texas Health Presbyterian Hospital Rockwall.

When was this NPI record last updated?

The NPPES record for Henykumar Patel was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.