Individual provider Active NPI

Ishita Prakash Patel, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Round Rock, TX
National Provider Identifier
1295052462
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
S3561 Issued in TX
Practice address
110 Deer Ridge Dr
Round Rock, TX 78681-5514
Phone
(512) 458-8400
Fax
(512) 458-8593
NPI assigned
Apr 28, 2010
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X S3561 TX Primary

Addresses

Primary practice location

110 Deer Ridge Dr
Round Rock, TX 78681-5514

Mailing address

110 Deer Ridge Dr
Round Rock, TX 78681-5514
Phone (512) 458-8400

Other names 1

  • Ishita Prakash Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Temple University School of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

110 Deer Ridge Dr
Round Rock, TX 78681-5514

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.33 of 100Reported as group
Quality
65.64
Promoting interoperability
76
Improvement activities
40
Cost
72.13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Diabetes and Endocrinology PA Endocrinology, Diabetes & Metabolism CurrentSince May 1, 2022 Accepting new patients
Texas Diabetes and Endocrinology, P.a. Endocrinology, Diabetes & Metabolism CurrentSince May 1, 2022 Accepting new patients

Locations

6500 N Mopac Expy
Bldg 3
Austin, TX 78731
Phone (512) 458-8400

110 Deer Ridge Dr
Round Rock, TX 78681
Phone (512) 458-8400

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 2

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": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1295052462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DEER RIDGE DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815514",
            "telephone_number": "512-458-8400",
            "fax_number": "512-458-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DEER RIDGE DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815514",
            "telephone_number": "512-458-8400",
            "fax_number": "512-458-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ISHITA",
        "middle_name": "PRAKASH",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "S3561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISHITA",
            "last_name": "PRAKASH",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.