SANJAY S. PATEL MD
NPI 1962635235
Family Medicine in San Angelo, TX

Active since September 02, 2009PECOS EnrolledAccepts Medicare Assignment
95.75/100
CMS Quality Rating
3502 KNICKERBOCKER RD, SAN ANGELO, TX 76904(325) 658-1511(325) 481-2166 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sanjay S. Patel Md NPPES

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

SANJAY S. PATEL MD (NPI 1962635235) is an individual family medicine provider in San Angelo, Texas, licensed in Texas (Q3074) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1962635235
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSANJAY S. PATELCredential: MD
Location Address3502 KNICKERBOCKER RDSan Angelo, TX 76904-7671
Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 658-1511 · Fax (325) 481-2166
Fax(325) 481-2166
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateSeptember 2, 2009
Last NPPES UpdateSeptember 13, 2016
NPI 1962635235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · Q3074 Licensed in OH · 35.099582 Licensed in ND · TRL11242
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.
3502 KNICKERBOCKER RD, San Angelo, TX 76904

Other Identifiers 7

Medicare PINN6252ND
Medicaid12083ND
Medicare PINH106970OH
Medicaid0068336OH
Medicare PINH106971OH
OtherP01231845OH · Railroad Medicare Mhcpi
Medicaid3810023726OH

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

Sanjay S. Patel 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 ID7719143189
PECOS Enrollment IDI20160809002147
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 10

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
674 services131 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
307 services272 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
192 services164 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
128 services32 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
111 services109 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
55 services55 patients

Hospital Affiliations CMS Care Compare

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

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76904 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.

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.

95.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner
3502 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Physician Assistant
3502 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Physician Assistant
3502 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Internal Medicine
3502 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Practitioner (Family)
3502 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Internal Medicine
3502 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Physician Assistant
3502 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Practitioner
3502 KNICKERBOCKER RD
SAN ANGELO, TX 76904

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 Sanjay Patel's NPI number?

The NPI number for Sanjay Patel is 1962635235. It was assigned to this individual provider in the NPPES registry on September 2, 2009.

Where is Sanjay Patel located?

Sanjay Patel practices at 3502 Knickerbocker Rd, San Angelo, TX 76904. The listed phone number is (325) 658-1511.

What is Sanjay Patel's specialty?

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

Is Sanjay Patel enrolled in Medicare?

Yes. Sanjay 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 Sanjay 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 Sanjay 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 Sanjay Patel affiliated with any hospitals?

According to CMS data, Sanjay Patel is affiliated with Shannon Medical Center.

When was this NPI record last updated?

The NPPES record for Sanjay Patel was last updated on September 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.