Individual provider Active NPI

Vipulkumar G. Patel, M. D.

  • Internal Medicine Physician
  • Dickinson, TX
National Provider Identifier
1710987995
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L0496 Issued in TX
Practice address
3828 Hughes CT
Suite 105
Dickinson, TX 77539-6244
Phone
(281) 534-8800
Fax
(281) 534-8826
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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 L0496 TX Primary

Addresses

Primary practice location

3828 Hughes CT
Suite 105
Dickinson, TX 77539-6244

Mailing address

PO Box 58233
Webster, TX 77598-8233
Phone (281) 534-8800

Other identifiers 7

IdentifierTypeStateIssuer
1542474-01MedicaidTX
3028424OtherTXAETNA
10686213OtherTXPPONEXT
2016422OtherTXFIRST HEALTH
9501450OtherTXCIGNA
00867FOtherTXBLUE CROSS BLUE SHIELD
1542474-02MedicaidTX

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
I20100804000512 TX Practitioner - Internal Medicine 2860441433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3828 Hughes CT
Suite 105
Dickinson, TX 77539-6235
Phone (281) 534-8800

Hospital & facility affiliations

  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vipulkumar G. Patel, M.D., P.a. Internal Medicine CurrentSince Aug 22, 2002 Accepting new patients
Subh Foot & Ankle LLC CurrentSince Mar 1, 2023 Accepting new patients
Janice Prime Care Medical PC Internal Medicine Past Accepting new patients

Locations

3828 Hughes Ct
Ste 105
Dickinson, TX 77539
Phone (281) 534-8800

709 W Medical Center Blvd
Webster, TX 77598
Phone (281) 316-8070

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.

Hospital & facility affiliations 1

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1710987995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58233",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988233",
            "telephone_number": "281-534-8800",
            "fax_number": "281-534-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 HUGHES CT",
            "address_2": "SUITE 105",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775396244",
            "telephone_number": "281-534-8800",
            "fax_number": "281-534-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIPULKUMAR",
        "middle_name": "G.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L0496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1542474-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3028424",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPONEXT",
            "identifier": "10686213",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2016422",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9501450",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00867F",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1542474-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

Verify at the official NPI Registry.