Mitesh Mahesh Patel, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q5896 Issued in TX

Practice address

208 Oak Dr S
Suite 200
Lake Jackson, TX 77566-5790

Phone

(979) 285-3633

Fax

(979) 285-3626

NPI assigned

Apr 16, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Arizona College of Osteopathic Medicine Mid Western University, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Baylor St. Luke'S Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Texas Home health agency, Galveston, TX, CCN 679104
• Iph Home Health Care Home health agency, Lake Jackson, TX, CCN 458399
• CHI St Luke'S Health Brazosport Hospital, Lake Jackson, TX, CCN 450072
• Matagorda Regional Medical Center Hospital, Bay City, TX, CCN 450465
• Sweeny Community Hospital Hospital, Sweeny, TX, CCN 451311

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
• Direct secure messaging: mitesh.patel@memc.eclinicaldirectplus.com
• Direct secure messaging: mpatel236704@direct.stlukeshealth.org

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.

• Baylor St. Luke'S Medical Group

  • Internal Medicine Physician
  • The Woodlands, TX
  • NPI 1740485879

  Family Medicine

  Medicare reassignment Care Compare group NPD

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

• Iph Health Care Services, Inc.

  • Home Health Agency
  • Lake Jackson, TX
  • NPI 1679553069
  Care Compare affiliation
• Matagorda County Hospital District

  • General Acute Care Hospital
  • Bay City, TX
  • NPI 1679678767
  Care Compare affiliation
• Sweeny Hospital District

  • Critical Access Hospital
  • Sweeny, TX
  • NPI 1023011657
  Care Compare affiliation
• Texas Home Health Skilled Services, L.P.

  • Home Health Agency
  • Desoto, TX
  • NPI 1801880554
  Care Compare affiliation
• Texas Home Health Skilled Services,LP

  • Home Health Agency
  • Galveston, TX
  • NPI 1659594737
  Care Compare affiliation
• The Community Hospital of Brazosport

  • General Acute Care Hospital
  • Lake Jackson, TX
  • NPI 1972581940
  Care Compare affiliation

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1134562598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 OAK DR S",
            "address_2": "SUITE 200",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665790",
            "telephone_number": "979-285-3633",
            "fax_number": "979-285-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 OAK DR S",
            "address_2": "SUITE 200",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665790",
            "telephone_number": "979-285-3633",
            "fax_number": "979-285-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITESH",
        "middle_name": "MAHESH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q5896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pasito a Pasito Applied Behavior Analysis LLC
• Jacob Ottis Pate
• Aarti Patel, OD
• Ankitkumar Patel, PHARMD
• Dhwani Patel
• Shamim Patni, M.D., MPH
• Ron Paul, MD
• Grace Pavlovsky, D.C.
• Pediatric Urgent Care of Texas PLLC
• Frank Adolph Peltier, M.D.

• Family Medicine Physician in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.

Verify at the official NPI Registry.