SANDEEP AMBALAL PATEL MD
NPI 1861490534
Internal Medicine - Interventional Cardiology in Thibodaux, LA

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
1320 MARTIN LUTHER KING DR, THIBODAUX, LA 70301(985) 446-2021(985) 447-1546 Get Directions Write a Review

NPPES record last updated: December 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandeep Ambalal Patel Md NPPES

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

SANDEEP AMBALAL PATEL MD (NPI 1861490534) is an individual interventional cardiology provider in Thibodaux, Louisiana, licensed in Louisiana (11521R) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Thibodaux Regional Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1861490534
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameSANDEEP AMBALAL PATELCredential: MD
Location Address1320 MARTIN LUTHER KING DRThibodaux, LA 70301-4886
Mailing Address1320 Martin Luther King DrThibodaux, LA 70301-4886 · (985) 446-2021 · Fax (985) 447-1546
Fax(985) 447-1546
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 7, 2005
Last NPPES UpdateDecember 23, 2019
NPI 1861490534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in LA · 11521R
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 11521R (LA)
1320 MARTIN LUTHER KING DR, Thibodaux, LA 70301

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sandeep Ambalal 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 ID9234230319
PECOS Enrollment IDI20100424000002
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.

Areas of Expertise CMS Part B claims 48

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.
1,301 services780 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,295 services866 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
1,192 services298 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
1,062 services670 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
1,041 services677 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
743 services508 patients

Hospital Affiliations CMS Care Compare 4

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

Thibodaux Regional Medical Center

Acute Care Hospitals · Thibodaux, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190004
Location602 N Acadia RoadThibodaux, LA 70301 · Lafourche County
Emergency services Birthing friendly

St James Parish Hospital

Critical Access Hospitals · Lutcher, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191305
Location1645 Lutcher AvenueLutcher, LA 70071 · St. James County
Emergency services

Ochsner St Anne General Hospital

Critical Access Hospitals · Raceland, LA
OwnershipVoluntary non-profit - Other
CMS Certification Number191324
Location4608 Highway 1Raceland, LA 70394 · Lafourche County
Emergency services Birthing friendly

Lady Of The Sea General Hospital

Critical Access Hospitals · Cut Off, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191325
Location200 West 134th PlaceCut Off, LA 70345 · Lafourche County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70301 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.77
Promoting Interoperability100
Improvement Activities40
Cost59.05

Reported Quality Measures

Controlling High Blood Pressure
88%2,131 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
85%128 patients4/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
45%500 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%5,410 patients5/55-star benchmark: 100%
e-Prescribing
98%6,266 patients4/55-star benchmark: 100%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
93%59 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%3,445 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%2,375 patients3/55-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 16

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

Nurse Practitioner (Family)
1320 MARTIN LUTHER KING DR
THIBODAUX, LA 70301
Internal Medicine (Interventional Cardiology)
1320 MARTIN LUTHER KING DR
THIBODAUX, LA 70301
Nurse Practitioner (Family)
1320 MARTIN LUTHER KING DR
THIBODAUX, LA 70301
Internal Medicine (Interventional Cardiology)
1320 MARTIN LUTHER KING DR
THIBODAUX, LA 70301
Internal Medicine (Interventional Cardiology)
1320 MARTIN LUTHER KING DR
THIBODAUX, LA 70301
Internal Medicine (Interventional Cardiology)
1320 MARTIN LUTHER KING DR
THIBODAUX, LA 70301
Nurse Practitioner (Family)
1320 MARTIN LUTHER KING DR
THIBODAUX, LA 70301
Nurse Practitioner (Family)
1320 MARTIN LUTHER KING DR
THIBODAUX, LA 70301

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 Sandeep Patel's NPI number?

The NPI number for Sandeep Patel is 1861490534. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Sandeep Patel located?

Sandeep Patel practices at 1320 Martin Luther King Dr, Thibodaux, LA 70301. The listed phone number is (985) 446-2021.

What is Sandeep Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Sandeep Patel enrolled in Medicare?

Yes. Sandeep 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.

What insurance does Sandeep Patel accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Sandeep 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 Sandeep Patel affiliated with any hospitals?

According to CMS data, Sandeep Patel is affiliated with Thibodaux Regional Medical Center, St James Parish Hospital, Ochsner St Anne General Hospital and Lady Of The Sea General Hospital.

When was this NPI record last updated?

The NPPES record for Sandeep Patel was last updated on December 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.