NPIMap

Individual provider Active NPI

Pratik Dilip Patel, M.D.

  • Family Medicine Physician
  • Spring, TX
National Provider Identifier
1235572686
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R2438 Issued in TX
Practice address
21309 Foster Rd
Ste 100
Spring, TX 77388
Phone
(281) 587-1700
Fax
(281) 907-6003
NPI assigned
Apr 15, 2013
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 54717 TN
Family Medicine Physician 207Q00000X R2438 TX Primary

Addresses

Primary practice location

21309 Foster Rd
Ste 100
Spring, TX 77388

Mailing address

21309 Foster Rd
Ste 100
Spring, TX 77388-4209
Phone (281) 587-1700

Other practice location 1

11026 Highway 242
Conroe, TX 77385-4348
Phone (281) 587-1700

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pratik-patel-2@ikpfamilye-mdsdirect.com
Direct Messaging Address pratik-patel-2@ikpfamily.e-mdsdirect.com

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
I20171102000816 TX Practitioner - Family Practice 4284874645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ikp Family Medicine, P.a.Group PAC ID 4284672478, 7 clinicians

Practice addresses (Care Compare)

21309 Foster Rd
Suite 100
Spring, TX 77388-4209
Phone (281) 587-1700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54717TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ikp Family Medicine, P.a. Family Medicine CurrentSince Oct 20, 2017 Accepting new patients
Ikp Family Medicine P.a. Family Medicine CurrentSince Oct 20, 2017 Accepting new patients

Locations

11026 Highway 242
Conroe, TX 77385
Phone (281) 587-1700

21309 Foster Rd
#100
Spring, TX 77388
Phone (281) 587-1700

17350 St Lukes Way
Ste 430
The Woodlands, TX 77384
Phone (281) 587-1700

Interoperability endpoints

  • Direct secure messaging: pratik-patel-2@ikpfamily.e-mdsdirect.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 11

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1235572686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21309 FOSTER RD",
            "address_2": "STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884209",
            "telephone_number": "281-587-1700",
            "fax_number": "281-907-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21309 FOSTER RD",
            "address_2": "STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77388",
            "telephone_number": "281-587-1700",
            "fax_number": "281-907-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11026 Highway 242",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773854348",
            "country_code": "US",
            "telephone_number": "281-587-1700",
            "fax_number": "261-907-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRATIK",
        "middle_name": "DILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "54717",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R2438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pratik-patel-2@ikpfamilye-mdsdirect.com",
            "affiliation": "N",
            "address_1": "21309 FOSTER RD",
            "address_2": "STE 100",
            "city": "SPRING",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pratik-patel-2@ikpfamily.e-mdsdirect.com",
            "affiliation": "N",
            "address_1": "11026 Highway 242",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773854348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.