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ANISHA B PATEL M.D.
NPI 1972764942
Dermatology in Houston, TX

Active since June 22, 2008PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
6411 FANNIN STREET, HOUSTON, TX 77030(713) 704-4000(713) 704-2658 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anisha B Patel M.d. NPPES

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

ANISHA B PATEL M.D. (NPI 1972764942) is an individual dermatology provider in Houston, Texas, licensed in Texas (P3054) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2008).

NPPES Registry Identity

NPI1972764942
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameANISHA B PATELCredential: M.D.
Location Address6411 FANNIN STREETHouston, TX 77030-1501
Mailing Address6431 Fannin Street, Msb 2.136Houston, TX 77030-1501 · (713) 500-5301 · Fax (713) 500-0695
Phone(713) 704-4000
Fax(713) 704-2658
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2008
Enumeration DateJune 22, 2008
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1972764942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · P3054
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License P3054 (TX)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License P3054 (TX)
Also ListedInternal MedicineTaxonomy 207R00000X · License BP10031185 (TX)
6411 FANNIN STREET, Houston, TX 77030
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Other Identifiers 1

Medicaid304071904TX

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

Anisha B 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 ID3072760511
PECOS Enrollment IDI20120905000802
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 14

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,638 services1,056 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
545 services97 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.
276 services186 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
175 services128 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
95 services83 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
86 services73 patients

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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

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.

HIDEHIRO TAKEI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
6411 FANNIN STREET
HOUSTON, TX 77030
Harris County (713) 704-4000
SYED GHAZI UR-REHMAN RIZVI MD
Internal Medicine (Critical Care Medicine)
6411 FANNIN STREET
HOUSTON, TX 77030
Harris County No phone listed
NGOC BAO PHAN NP
Nurse Practitioner (Gerontology)
6411 FANNIN STREET
HOUSTON, TX 77030
Harris County (346) 370-1526
NAVNEET NARULA M.D.
Pathology (Anatomic Pathology)
6411 FANNIN STREET
HOUSTON, TX 77030
Harris County (713) 704-4000
DENISSE LEZA RINCON M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
6411 FANNIN STREET
HOUSTON, TX 77030
Harris County (713) 704-4000
JOANNE B PRASHAD MD
Internal Medicine (Geriatric Medicine)
6411 FANNIN STREET
HOUSTON, TX 77030
Harris County (832) 778-0601
MAHMOUD M ELSAYAD M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
6411 FANNIN STREET
HOUSTON, TX 77030
Harris County (713) 704-4000
DR. AHMED MOHAMED KAMEL ABDEL AAL MD, PHD
Radiology (Diagnostic Radiology)
6411 FANNIN STREET, MSB 2.130B
HOUSTON, TX 77030
Harris County (713) 704-1782

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 Anisha Patel's NPI number?

The NPI number for Anisha Patel is 1972764942. It was assigned to this individual provider in the NPPES registry on June 22, 2008.

Where is Anisha Patel located?

Anisha Patel practices at 6411 Fannin Street, Houston, TX 77030. The listed phone number is (713) 704-4000.

What is Anisha Patel's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Anisha Patel enrolled in Medicare?

Yes. Anisha 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 Anisha Patel accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Anisha 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.

When was this NPI record last updated?

The NPPES record for Anisha Patel was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.