Individual provider Active NPI

Tarak J Patel, MD

  • Pediatric Pulmonology Physician
  • San Antonio, TX
National Provider Identifier
1013954221
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
K5652 Issued in TX
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

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8F21480OtherTXMEDICARE- SAN ANTONIO
8F22537OtherTXMEDICARE- HOUSTON
047712707OtherTXMEDICAID - HOUSTON
047712706OtherTXMEDICAID - 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621000341 TX Practitioner - Pediatric MedicinePractitioner - Pulmonary Disease 4587649025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Pulmonary Disease
Education
Texas Tech University Health Science Center School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 0648405738, 36 clinicians
Texas Medical and Sleep Specialists, PLLCGroup PAC ID 6901955814, 3 clinicians

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 Hospital, San Antonio, TX, CCN 450388

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K5652TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Medical and Sleep Specialists, PLLC Pediatrics CurrentSince Apr 15, 2009 Accepting new patients
Academy Diagnostics LLC CurrentSince May 1, 2007 Accepting new patients
Baylor College of Medicine Pediatrics CurrentSince Oct 6, 2014 Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients
Kelly J Smith MD PA Pediatric Pulmonology PastSince Dec 24, 2023 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

  • Direct secure messaging: tpatel@txmss.gwaydirect.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.