NPIMap

Individual provider Active NPI

Om V Patel, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Frisco, TX
National Provider Identifier
1003297904
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
T0312 Issued in TX
Practice address
5550 Warren Pkwy Ste 200
Frisco, TX 75034-7399
Phone
(469) 850-0680
NPI assigned
Jun 16, 2015
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 94-08721 KS
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X T0312 TX Primary

Addresses

Primary practice location

5550 Warren Pkwy Ste 200
Frisco, TX 75034-7399

Mailing address

5550 Warren Pkwy Ste 200
Frisco, TX 75034-7399
Phone (469) 850-0680

Other practice location 1

149 TX -121
Suite 115
Coppell, TX 75019-7501
Phone (469) 850-0680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630001780 TX Practitioner - Orthopedic Surgery 6406160506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical School at San Antonio, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

149 SH
121 Suite 115
Coppell, TX 75019-0101
Phone (469) 850-0680

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.98 of 100Reported as group
Quality
40.21
Improvement activities
40
Cost
52.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement17
Knee replacement48
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
94-08721KSMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Orthopedics and Sports Medicine PLLC Orthopaedic Surgery CurrentSince Jul 1, 2021 Accepting new patients
Star Orthopedics and Sports Medicine PLLC Single Specialty CurrentSince Jul 1, 2021 Accepting new patients

Locations

5550 Warren Pkwy
Ste 200
Frisco, TX 75034
Phone (469) 850-0680

Interoperability endpoints

  • Direct secure messaging: om.patel.1@31707.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1003297904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 WARREN PKWY STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347399",
            "telephone_number": "469-850-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 WARREN PKWY STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347399",
            "telephone_number": "469-850-0680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 TX -121",
            "address_2": "Suite 115",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750197501",
            "country_code": "US",
            "telephone_number": "469-850-0680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "OM",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "94-08721",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "TX",
            "license": "T0312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.