Individual provider Active NPI

Mukesh R Patel, MD

  • Internal Medicine Physician
  • Webster, TX
National Provider Identifier
1700813136
Registry record updated Jun 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L4633 Issued in TX
Practice address
780 Clear Lake City Blvd BLDG 2
Webster, TX 77598-5500
Phone
(281) 464-8988
Fax
(281) 464-7744
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L4633 TX Primary

Addresses

Primary practice location

780 Clear Lake City Blvd BLDG 2
Webster, TX 77598-5500

Mailing address

780 Clear Lake City Blvd BLDG 2
Webster, TX 77598-5500
Phone (281) 464-8988

Other identifiers 1

IdentifierTypeStateIssuer
159387301MedicaidTX

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
I20100805001113 TX Practitioner - Internal Medicine 0446353221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

780 Clear Lake City Blvd
Webster, TX 77598-5500
Phone (281) 464-8988

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4633TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Oct 19, 2020 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Oct 19, 2020 Accepting new patients
Southeast Nocturnists LLC CurrentSince Jan 1, 2013 Accepting new patients

Locations

11920 Astoria Blvd
Ste 280
Houston, TX 77089
Phone (281) 464-8988

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

780 Clear Lake City Blvd
Bldg 2
Webster, TX 77598
Phone (281) 464-8988

Interoperability endpoints

  • Direct secure messaging: mukesh.patel@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1700813136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 CLEAR LAKE CITY BLVD BLDG 2",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775985500",
            "telephone_number": "281-464-8988",
            "fax_number": "281-464-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 CLEAR LAKE CITY BLVD BLDG 2",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775985500",
            "telephone_number": "281-464-8988",
            "fax_number": "281-464-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MUKESH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159387301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.