MICHAEL PANDYA MD
NPI 1902224793
Emergency Medicine in Houston, TX

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6431 FANNIN ST STE JJL 431, HOUSTON, TX 77030(713) 500-7878(713) 500-0758 Get Directions Write a Review

NPPES record last updated: May 15, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Pandya Md NPPES

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

MICHAEL PANDYA MD (NPI 1902224793) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (Q9468) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of University Of Texas Medical School At Houston (2014).

NPPES Registry Identity

NPI1902224793
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL PANDYACredential: MD
Location Address6431 FANNIN ST STE JJL 431Houston, TX 77030-1501
Mailing Address6431 Fannin St Ste Jjl 431Houston, TX 77030-1501 · (713) 500-7878 · Fax (713) 500-0758
Fax(713) 500-0758
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2014
Enumeration DateMarch 31, 2014
Last NPPES UpdateMay 15, 2017
NPI 1902224793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TX · Q9468
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

6431 FANNIN ST STE JJL 431, Houston, TX 77030

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

Michael Pandya 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 ID9234416546
PECOS Enrollment IDI20170515000336
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 5

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.

Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
163 services161 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
113 services110 patients
Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
44 services43 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
38 services37 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

Emergency Medicine
6431 FANNIN ST STE JJL 431
HOUSTON, TX 77030
Pediatrics (Pediatric Emergency Medicine)
6431 FANNIN ST STE JJL 431
HOUSTON, TX 77030
Emergency Medicine
6431 FANNIN ST STE JJL 431
HOUSTON, TX 77030
Emergency Medicine
6431 FANNIN ST STE JJL 431
HOUSTON, TX 77030
Emergency Medicine
6431 FANNIN ST STE JJL 431
HOUSTON, TX 77030
Emergency Medicine
6431 FANNIN ST STE JJL 431
HOUSTON, TX 77030
Emergency Medicine
6431 FANNIN ST STE JJL 431
HOUSTON, TX 77030
Emergency Medicine
6431 FANNIN ST STE JJL 431
HOUSTON, TX 77030

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 Michael Pandya's NPI number?

The NPI number for Michael Pandya is 1902224793. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Where is Michael Pandya located?

Michael Pandya practices at 6431 Fannin St Ste Jjl 431, Houston, TX 77030. The listed phone number is (713) 500-7878.

What is Michael Pandya's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Pandya enrolled in Medicare?

Yes. Michael Pandya 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 Michael Pandya accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Michael Pandya 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 Michael Pandya affiliated with any hospitals?

According to CMS data, Michael Pandya is affiliated with Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Michael Pandya was last updated on May 15, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.