Individual provider Active NPI

Minal Jagdish Patel, MD

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
National Provider Identifier
1891050001
Registry record updated Nov 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
Q3759 Issued in TX
Practice address
6621 Fannin St Ste W6104
Houston, TX 77030-2370
Phone
(832) 826-1380
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Neonatal-Perinatal Medicine Physician 2080N0001X Q3759 TX Primary

Addresses

Primary practice location

6621 Fannin St Ste W6104
Houston, TX 77030-2370

Mailing address

6621 Fannin St Ste W6104
Houston, TX 77030-2370
Phone (832) 826-1380

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
I20181010001437 TX Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 8325390966 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children'S Physician Group CurrentSince Aug 6, 2020 Accepting new patients
Baylor College of Medicine CurrentSince Oct 1, 2018 Accepting new patients
Baylor College of Medicine CurrentSince Oct 1, 2018 Accepting new patients
Texas Children'S Hospital Past Accepting new patients

Locations

2450 Holcombe Blvd
Ste NB34L
Houston, TX 77021
Phone (713) 796-0003

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

6621 Fannin St
Ste W6104
Houston, TX 77030
Phone (832) 823-1380

6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840

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.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541894400000",
    "number": "1891050001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST STE W6104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302370",
            "telephone_number": "832-826-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST STE W6104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302370",
            "telephone_number": "832-826-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MINAL",
        "middle_name": "JAGDISH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2018-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "Q3759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.