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DR. MANISH PRAHLAD PATEL DO
NPI 1922056357
Family Medicine in Hewitt, TX

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
729 SUN VALLEY BLVD STE A, HEWITT, TX 76643(254) 537-6700(254) 537-6701 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2026, Sep 10, 2025 (2 updates tracked since 2025).

About Dr. Manish Prahlad Patel Do NPPES

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

DR. MANISH PRAHLAD PATEL DO (NPI 1922056357) is an individual family medicine provider in Hewitt, Texas, licensed in Texas (L8159) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2002).

NPPES Registry Identity

NPI1922056357
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MANISH PRAHLAD PATELCredential: DO
Location Address729 SUN VALLEY BLVD STE AHewitt, TX 76643-3535
Mailing Address1600 Providence DrWaco, TX 76707-2261 · (254) 313-4200 · Fax (254) 313-4326
Phone(254) 537-6700
Fax(254) 537-6701
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2002
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1922056357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L8159
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
729 SUN VALLEY BLVD STE A, Hewitt, TX 76643
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Other Identifiers 3

Other8D9548TX · Medicare Ptan
Medicaid1766206-01TX
OtherL8159TX · State Medical License

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Manish Prahlad Patel Do 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 ID7517948383
PECOS Enrollment IDI20040527000232
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

2

Medicare enrollment records show Manish Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heart Of Texas Community Health Center Inc
2.8 mi
Federally Qualified Health Center (FQHC)
6500 IMPERIAL DR., STE 200
Waco, TX 76712
  • Reassigned Medicare billing, Texas enrollment
  • 166 clinicians in this Medicare group
NPI 1386427334 (253) 313-6600
Memorial Hermann Medical Group
144 mi
Family Medicine
6631 W CROSS CREEK BEND LN STE 200
Fulshear, TX 77441
  • Reassigned Medicare billing, Texas enrollment
  • 1,235 clinicians in this Medicare group
NPI 1003985102 (832) 658-5750

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 4

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.

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.
67 services34 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
48 services28 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.
43 services25 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
41 services25 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 76643 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES

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

NASTASSIA MAE KEEL MSN, APRN, FNP-C
Nurse Practitioner (Family)
729 SUN VALLEY BLVD STE A
HEWITT, TX 76643
McLennan County (254) 537-6700

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 1922056357. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Manish Patel located?

Manish Patel practices at 729 Sun Valley Blvd Ste A, Hewitt, TX 76643. The listed phone number is (254) 537-6700.

What is Manish Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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.

Which organizations bill Medicare for Manish Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manish Patel reassigns Medicare benefits to 2 organizations: Heart Of Texas Community Health Center Inc (Waco, TX) and Memorial Hermann Medical Group (Fulshear, TX). 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 Manish Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 3 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.

When was this NPI record last updated?

The NPPES record for Manish Patel was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.