Individual provider Active NPI

Kruti R Patel, D.O

  • Internal Medicine Physician
  • Sherman, TX
National Provider Identifier
1477948172
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
012456 Issued in OH
Practice address
425 N Highland Ave Ste 130
Sherman, TX 75092-7383
Phone
(903) 868-7962
Fax
(903) 868-2317
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X S9202 TX
Student in an Organized Health Care Education/Training Program 390200000X OH
Internal Medicine Physician 207R00000X 012456 OH Primary

Addresses

Primary practice location

425 N Highland Ave Ste 130
Sherman, TX 75092-7383

Mailing address

425 N Highland Ave Ste 130
Sherman, TX 75092-7383
Phone (903) 231-7962

Other practice location 1

5100 W Broad St
Columbus, OH 43228-1607
Phone (614) 544-1000

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
I20210712002808 TX Practitioner - Gastroenterology 2769758432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
West Virginia School of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Digestive Disease Consultants, PLLCGroup PAC ID 3375531379, 616 clinicians

Practice addresses (Care Compare)

4370 Medical Arts Dr
Suite 295
Flower Mound, TX 75028-1742
Phone (972) 691-3777

Hospital & facility affiliations

  • Wilson N Jones Regional Medical Center Hospital, Sherman, TX, CCN 450469
  • Baylor Scott and White Surgical Hospital at Sherma Hospital, Sherman, TX, CCN 670076
  • Texoma Medical Center Hospital, Denison, TX, CCN 450324

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy121
Upper gastrointestinal (GI) endoscopy for acid reflux108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S9202TXMDGastroenterology Physician
012456OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Single Specialty Current Accepting new patients
Texas Digestive Disease Consultants PLLC Single Specialty CurrentSince Jul 30, 2021 Accepting new patients
Sherman Grayson Hospital LLC Current Accepting new patients
Texas Digestive Disease Consultants, PLLC Single Specialty CurrentSince Jul 30, 2021 Accepting new patients

Locations

4370 Medical Arts Dr
Ste 295
Flower Mound, TX 75028
Phone (972) 691-3777

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

425 N Highland Ave
Ste 130
Sherman, TX 75092
Phone (903) 868-7962

Interoperability endpoints

  • Direct secure messaging: krutipatel@wnjrmc.allscriptsdirect.net
  • Direct secure messaging: kpatel297227@direct.hfhs.org

Organizations & group practices 4

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1477948172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N HIGHLAND AVE STE 130",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927383",
            "telephone_number": "903-231-7962",
            "fax_number": "903-868-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N HIGHLAND AVE STE 130",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927383",
            "telephone_number": "903-868-7962",
            "fax_number": "903-868-2317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281607",
            "country_code": "US",
            "telephone_number": "614-544-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRUTI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "S9202",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "012456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.