MANISH LALJIBHAI PATEL M.D.
NPI 1912147927
Internal Medicine - Pulmonary Disease in Houston, TX

Q: What is Manish Patel's NPI number?

The NPI number for Manish Patel is 1912147927. It was assigned to this individual provider in the NPPES registry on March 3, 2009.

Q: What is Manish Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Manish Patel was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 03, 2009PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

7737 SOUTHWEST FWY STE 300, HOUSTON, TX 77074(281) 688-4088(281) 929-0090 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2023, Dec 23, 2015 (2 updates tracked since 2015).

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About Manish Laljibhai Patel M.d. NPPES

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

MANISH LALJIBHAI PATEL M.D. (NPI 1912147927) is an individual pulmonary disease provider in Houston, Texas, licensed in Texas (Q5530) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1912147927

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameMANISH LALJIBHAI PATELCredential: M.D.

Location Address7737 SOUTHWEST FWY STE 300Houston, TX 77074-1824

Mailing Address1400 Wallace BlvdAmarillo, TX 79106-1708 · (806) 414-9100 · Fax (806) 354-5717

Phone(281) 688-4088

Fax(281) 929-0090

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMarch 3, 2009

Last NPPES UpdateMarch 2, 20232 updates tracked since enumeration

NPPES CertifiedMarch 2, 2023

✔ NPI 1912147927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in TX · Q5530✔ Licensed in TX · 45085

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 45085 (TX), Q5530 (TX), 4301092205 (MI)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 45085 (TX), Q5530 (TX)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License Q5530 (TX)

7737 SOUTHWEST FWY STE 300, Houston, TX 77074

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Other Identifiers 4

Medicaid346905802TX

Medicaid200589970 AOK

Medicaid98580795NM

Medicaid346905801TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Manish Laljibhai 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 ID446404560

PECOS Enrollment IDI20150616002612

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 7

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.

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.

144 services67 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

98 services95 patients

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.

92 services56 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

60 services60 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

33 services24 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.

17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Northwest Texas Hospital

Acute Care Hospitals · Amarillo, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450209

Location1501 S Coulter StAmarillo, TX 79106 · Potter County

Emergency services Birthing friendly

Bsa Hospital

Acute Care Hospitals · Amarillo, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450231

Location1600 Wallace BlvdAmarillo, TX 79106 · Potter County

Emergency services Birthing friendly

Coon Memorial Hospital

Critical Access Hospitals · Dalhart, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451331

Location1411 Denver AvenueDalhart, TX 79022 · Dallam County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77074 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

91.19

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 25

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

7 suppliers278 claims278 services$39.53 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

10 suppliers207 claims207 services$96.38 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

9 suppliers234 claims560 services$35.77 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

6 suppliers72 claims334 services$19.75 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

5 suppliers71 claims391 services$16.06 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

9 suppliers135 claims135 services$61.73 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

12 suppliers205 claims205 services$19.06 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

4 suppliers20 claims20 services$10.25 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

8 suppliers46 claims46 services$17.30 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

12 suppliers344 claims1,813 services$2.50 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

7 suppliers21 claims21 services$7.22 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

10 suppliers178 claims178 services$12.41 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

9 suppliers106 claims106 services$18.21 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

3 suppliers36 claims36 services$37.41 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

5 suppliers60 claims60 services$101.16 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

4 suppliers76 claims76 services$253.43 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

4 suppliers40 claims40 services$148.75 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

4 suppliers81 claims82 services$15.41 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers16 claims16 services$6.61 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

7 suppliers376 claims382 services$40.79 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

15 suppliers361 claims361 services$94.33 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

8 suppliers194 claims194 services$33.64 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

8 suppliers13 claims1,379 services$0.09 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers22 claims22 services$30.63 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

11 suppliers16 claims16 services$22.87 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 4

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

RYAN THOMAS HOLLADAY DPT

Physical Therapist

7737 SOUTHWEST FWY STE 300
HOUSTON, TX 77074

Harris County (713) 774-2090

HOUSTONLUNGSLEEP PLLC

Internal Medicine (Pulmonary Disease)

7737 SOUTHWEST FWY STE 300
HOUSTON, TX 77074

Harris County (248) 404-8817

DR. KRYSTAL DANA PT, DPT

Physical Therapist

7737 SOUTHWEST FWY STE 300
HOUSTON, TX 77074

Harris County (713) 774-2090

JASSMIN BENITEZ-GUEVARA PA-C

Physician Assistant

7737 SOUTHWEST FWY STE 300
HOUSTON, TX 77074

Harris County (713) 774-2090

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 Manish Patel's NPI number?

The NPI number for Manish Patel is 1912147927. It was assigned to this individual provider in the NPPES registry on March 3, 2009.

Where is Manish Patel located?

Manish Patel practices at 7737 Southwest Fwy Ste 300, Houston, TX 77074. The listed phone number is (281) 688-4088.

What is Manish Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Manish Patel enrolled in Medicare?

Yes. Manish 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 Manish Patel accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Manish 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 Manish Patel affiliated with any hospitals?

According to CMS data, Manish Patel is affiliated with Memorial Hermann Hospital System, Northwest Texas Hospital, Bsa Hospital and Coon Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Manish Patel was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.