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NAYANKUMAR AMRUTBHAI PATEL MD
NPI 1972796985
Internal Medicine - Nephrology in Lubbock, TX

Active since August 22, 2007PECOS EnrolledAccepts Medicare Assignment
1126 SLIDE ROAD, SUITE 4B, LUBBOCK, TX 79407(806) 793-8447(806) 792-7887 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nayankumar Amrutbhai Patel Md NPPES

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

NAYANKUMAR AMRUTBHAI PATEL MD (NPI 1972796985) is an individual nephrology provider in Lubbock, Texas, licensed in Texas (M8241) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Roosevelt General Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1972796985
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameNAYANKUMAR AMRUTBHAI PATELCredential: MD
Location Address1126 SLIDE ROAD, SUITE 4BLubbock, TX 79407-5402
Mailing Address1126 Slide Rd, Unit 4bLubbock, TX 79416-5402 · (806) 792-7887
Phone(806) 793-8447
Fax(806) 792-7887
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 22, 2007
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1972796985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in TX · M8241✔ Licensed in NM · MD2007-0494
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1126 SLIDE ROAD, Lubbock, TX 79407
Open in Google Maps ↗

Other Identifiers 1

Other8CK908TX · Blue Cross & Blue Shield Of Texas

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

Nayankumar Amrutbhai 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 ID7517041023
PECOS Enrollment IDI20120425000529
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.

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.
1,317 services908 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,143 services207 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
747 services121 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
282 services94 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
257 services257 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
218 services34 patients

Hospital Affiliations CMS Care Compare 5

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

Roosevelt General Hospital

Acute Care Hospitals · Portales, NM
OwnershipGovernment - Hospital District or Authority
CMS Certification Number320084
Location42121 Us Highway 70Portales, NM 88130 · Roosevelt County
Emergency services

Nor-Lea Hospital District

Critical Access Hospitals · Lovington, NM
OwnershipGovernment - Hospital District or Authority
CMS Certification Number321305
Location1600 North Main AveLovington, NM 88260 · Lea County
Emergency services

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

Grace Surgical Hospital

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450162
Location2412 50th StLubbock, TX 79412 · Lubbock County
Emergency services

Cogdell Memorial Hospital

Critical Access Hospitals · Snyder, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451384
Location1700 Cogdell BlvdSnyder, TX 79549 · Scurry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79407 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims1,560 services$0.30 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier15 claims4,020 services$0.59 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers27 claims3,240 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers27 claims27 services$17.55 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers28 claims28 services$11.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nayankumar Patel's NPI number?

The NPI number for Nayankumar Patel is 1972796985. It was assigned to this individual provider in the NPPES registry on August 22, 2007.

Where is Nayankumar Patel located?

Nayankumar Patel practices at 1126 Slide Road Suite 4B, Lubbock, TX 79407. The listed phone number is (806) 793-8447.

What is Nayankumar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nayankumar Patel enrolled in Medicare?

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

According to CMS data, Nayankumar Patel is affiliated with Roosevelt General Hospital, Nor-Lea Hospital District, Covenant Medical Center, Grace Surgical Hospital and Cogdell Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nayankumar Patel was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.