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MANISH KANUBHAI PATEL M.D
NPI 1942453071
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Houston, TX

Active since November 03, 2008PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6400 FANNIN ST STE 2350, HOUSTON, TX 77030(713) 486-6710 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Manish Kanubhai Patel M.d NPPES

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

MANISH KANUBHAI PATEL M.D (NPI 1942453071) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Houston, Texas, licensed in Texas (P2049) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1942453071
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameMANISH KANUBHAI PATELCredential: M.D
Location Address6400 FANNIN ST STE 2350Houston, TX 77030-1554
Mailing Address6400 Fannin St Ste 2350Houston, TX 77030-1554 · (713) 486-6710
Phone(713) 486-6710
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 3, 2008
Last NPPES UpdateDecember 11, 2014
✔ NPI 1942453071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in TX · P2049
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 35.088058 (OH)
6400 FANNIN ST STE 2350, Houston, TX 77030
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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

Manish Kanubhai 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 ID9931364122
PECOS Enrollment IDI20120714000042
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 Reassignment

Medicare enrollment records show Manish Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Physicians
0.1 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325

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 2

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.

Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
19 services19 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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 19

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

GABRIEL DARIO PATARROYO - APONTE MD
Internal Medicine (Critical Care Medicine)
6400 FANNIN ST STE 2350
HOUSTON, TX 77030
Harris County (713) 500-6828
DR. DENNY THOMAS JOSEPH MD
Hospitalist
6400 FANNIN ST STE 2350
HOUSTON, TX 77030
Harris County (713) 486-6753
DR. GNANA DHEEPA ARDHANARI M.D
Pediatrics (Pediatric Critical Care Medicine)
6400 FANNIN ST STE 2350
HOUSTON, TX 77030
Harris County (713) 486-6740
AKSHAY GUPTA MBBS, DNB
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2350
HOUSTON, TX 77030
Harris County (346) 702-0288
DAGMAR MONIQUE DECLET
Nurse Practitioner (Acute Care)
6400 FANNIN ST STE 2350
HOUSTON, TX 77030
Harris County (713) 486-6740
DR. MAKS MIHALJ MD, PHD
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2350
HOUSTON, TX 77030
Harris County (713) 486-1651
ARUN SRINIVASAN KANNAN M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
6400 FANNIN ST STE 2350
HOUSTON, TX 77030
Harris County (713) 486-6740
TANVI BORSE MD
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2350
HOUSTON, TX 77030
Harris County (713) 486-1651

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 1942453071. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Where is Manish Patel located?

Manish Patel practices at 6400 Fannin St Ste 2350, Houston, TX 77030. The listed phone number is (713) 486-6710.

What is Manish Patel's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

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 organization bills Medicare for Manish Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manish Patel reassigns Medicare benefits to Ut Physicians (Houston, TX). The 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 2 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 - Texas Medical Center.

When was this NPI record last updated?

The NPPES record for Manish Patel was last updated on December 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.