NADEEM PATEL M.D.
NPI 1902809486
Internal Medicine in Decatur, TX

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
609 MEDICAL CENTER DR, DECATUR, TX 76234(940) 626-2430(940) 626-2431 Get Directions Write a Review

NPPES record last updated: March 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nadeem Patel M.d. NPPES

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

NADEEM PATEL M.D. (NPI 1902809486) is an individual internal medicine provider in Decatur, Texas, licensed in Texas (K0153) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Texas Health Arlington Memorial Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1902809486
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNADEEM PATELCredential: M.D.
Location Address609 MEDICAL CENTER DRDecatur, TX 76234-3836
Mailing AddressPo Box 4656Troy, MI 48099-4656 · (866) 986-0596 · Fax (866) 896-6039
Fax(940) 626-2431
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMay 27, 2005
Last NPPES UpdateMarch 7, 2014
NPI 1902809486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · K0153
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
609 MEDICAL CENTER DR, Decatur, TX 76234

Other Identifiers 3

Medicare UPING15619
Medicare PIN8F10050TX
Medicaid128857305TX

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

Nadeem Patel M.d. 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 ID345259081
PECOS Enrollment IDI20060407000488
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
619 services195 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
183 services173 patients
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.
65 services64 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
51 services28 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Texas Health Arlington Memorial Hospital

Acute Care Hospitals · Arlington, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450064
Location800 W Randol Mill RdArlington, TX 76012 · Tarrant County
Emergency services Birthing friendly

Texas Health Heart & Vascular Hospital Arlington

Acute Care Hospitals · Arlington, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670071
Location811 Wright StreetArlington, TX 76012 · Tarrant County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76234 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
5 suppliers31 claims31 services$13.21 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
5 suppliers38 claims38 services$58.37 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.

Nurse Anesthetist, Certified Registered
609 MEDICAL CENTER DR
DECATUR, TX 76234
Pharmacist
609 MEDICAL CENTER DR
DECATUR, TX 76234
General Acute Care Hospital
609 MEDICAL CENTER DR
DECATUR, TX 76234
Nurse Anesthetist, Certified Registered
609 MEDICAL CENTER DR
DECATUR, TX 76234
Specialist
609 MEDICAL CENTER DR
DECATUR, TX 76234
Nurse Anesthetist, Certified Registered
609 MEDICAL CENTER DR
DECATUR, TX 76234
Physical Therapy Assistant
609 MEDICAL CENTER DR
DECATUR, TX 76234
Nurse Practitioner
609 MEDICAL CENTER DR
DECATUR, TX 76234

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 Nadeem Patel's NPI number?

The NPI number for Nadeem Patel is 1902809486. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Nadeem Patel located?

Nadeem Patel practices at 609 Medical Center Dr, Decatur, TX 76234. The listed phone number is (940) 626-2430.

What is Nadeem Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nadeem Patel enrolled in Medicare?

Yes. Nadeem 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 Nadeem Patel accept?

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

According to CMS data, Nadeem Patel is affiliated with Texas Health Arlington Memorial Hospital and Texas Health Heart & Vascular Hospital Arlington.

When was this NPI record last updated?

The NPPES record for Nadeem Patel was last updated on March 7, 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.