Active NPI
Tarak J Patel, MD
- Pediatric Pulmonology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- K5652
- Practice address
- 4114 Pond Hill Road
Suite 101
San Antonio, TX 78231 - Phone
- (210) 249-5020
- Fax
- (210) 494-2209
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K5652 | TX | |
| Pediatric Sleep Medicine Physician | 2080S0012X | K5652 | TX | |
| Pediatric Pulmonology Physician | 2080P0214X | K5652 | TX | Primary |
Addresses
Primary practice location
4114 Pond Hill Road
Suite 101
San Antonio, TX 78231
Mailing address
4114 Pond Hill Rd Ste 101
San Antonio, TX 78231-1273
Phone (210) 249-5020
Other practice location 1
333 N Santa Rosa
San Antonio, TX 78207-3108
Phone (210) 704-3030
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8F21480 | Other | TX | MEDICARE- SAN ANTONIO |
| 8F22537 | Other | TX | MEDICARE- HOUSTON |
| 047712707 | Other | TX | MEDICAID - HOUSTON |
| 047712706 | Other | TX | MEDICAID - SAN ANTONIO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 N Santa Rosa
San Antonio, TX 78207-3108
Phone (210) 704-4849
4114 Pond Hill Rd
San Antonio, TX 78231-1273
Phone (210) 249-5020
545 Creekside Xing
Suite 206
New Braunfels, TX 78130-4565
Phone (210) 249-5020
Hospital & facility affiliations
- Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K5652 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Medical and Sleep Specialists, PLLC | Pediatrics | Current | Accepting new patients |
| Academy Diagnostics LLC | Current | Accepting new patients | |
| Baylor College of Medicine | Pediatrics | Current | Accepting new patients |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients | |
| Kelly J Smith MD PA | Pediatric Pulmonology | Past | Accepting new patients |
| San Antonio Pediatric Pulmonary and Sleep Medicine, PA | Pediatrics | Past | Accepting new patients |
Locations
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
1102 Bates Ave
Houston, TX 77030
Phone (832) 822-4556
21308 Provincial Blvd
Katy, TX 77450
Phone (281) 206-8201
545 Creekside Xing
Ste 206
New Braunfels, TX 78130
Phone (210) 343-1089
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
4114 Pond Hill Rd
Ste 102
San Antonio, TX 78231
Phone (210) 761-5448
4114 Pond Hill Rd
Ste 101
San Antonio, TX 78231
8215 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 616-9500
Interoperability endpoints
- tpatel@txmss.gwaydirect.com
- tpatel416540@christushealth.direct-ci.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
-
- Pediatric Sleep Medicine Physician
- San Antonio, TX
- NPI 1164668299
Pediatrics
-
- Pediatric Sleep Medicine Physician
- San Antonio, TX
- NPI 1275616781
Pediatrics
-
- Sleep Disorder Diagnostic Clinic/Center
- San Antonio, TX
- NPI 1861615163
-
- Pediatric Pulmonology Physician
- San Antonio, TX
- NPI 1083829139
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1013954221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4114 POND HILL RD STE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782311273",
"telephone_number": "210-249-5020",
"fax_number": "210-572-1540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4114 POND HILL ROAD",
"address_2": "SUITE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78231",
"telephone_number": "210-249-5020",
"fax_number": "210-494-2209"
}
],
"practiceLocations": [
{
"address_1": "333 N Santa Rosa",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782073108",
"country_code": "US",
"telephone_number": "210-704-3030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "TARAK",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K5652",
"primary": false
},
{
"code": "2080S0012X",
"taxonomy_group": "",
"desc": "Pediatrics, Sleep Medicine",
"state": "TX",
"license": "K5652",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "TX",
"license": "K5652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE- SAN ANTONIO",
"identifier": "8F21480",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE- HOUSTON",
"identifier": "8F22537",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - HOUSTON",
"identifier": "047712707",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - SAN ANTONIO",
"identifier": "047712706",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.