Individual provider Active NPI

Tinaben H. Patel, PA

  • Physician Assistant
  • Montgomery, TX
National Provider Identifier
1992885966
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10513 Issued in TX
Practice address
21105 Eva St
Suite 100
Montgomery, TX 77356-1706
Phone
(936) 597-8585
Fax
(936) 597-6433
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10513 TX
Physician Assistant 363A00000X PA10513 TX Primary

Addresses

Primary practice location

21105 Eva St
Suite 100
Montgomery, TX 77356-1706

Mailing address

21105 Eva St
Suite 100
Montgomery, TX 77356-1706
Phone (936) 597-8585

Other identifiers 1

IdentifierTypeStateIssuer
8536MCOtherTXBCBS

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150501000189 TX Practitioner - Physician Assistant 6901891282 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Radiology AssociatedGroup PAC ID 8022092451, 107 clinicians

Practice addresses (Care Compare)

16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148

4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411

6565 Fannin St
Houston, TX 77030-2703
Phone (281) 206-9020

Hospital & facility affiliations

  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10513TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Mar 13, 2017 Accepting new patients
TMH Physician Associates PLLC CurrentSince Mar 13, 2017 Accepting new patients
Virginia Radiology Associates, P.C. Past Accepting new patients

Locations

8000 Highway 242
Ste 116
Conroe, TX 77385
Phone (800) 601-0999

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

18220 Tomball Pkwy
Ste 400
Houston, TX 77070
Phone (281) 737-0570

21105 Eva St
Ste 100
Montgomery, TX 77356
Phone (936) 597-8585

17183 Interstate 45 S
Ste 590
Shenandoah, TX 77385
Phone (936) 760-2230

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • Direct secure messaging: tpatel110278@directhoustonmethodist.org

Organizations & group practices 5

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1992885966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21105 EVA ST",
            "address_2": "SUITE 100",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773561706",
            "telephone_number": "936-597-8585",
            "fax_number": "936-597-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21105 EVA ST",
            "address_2": "SUITE 100",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773561706",
            "telephone_number": "936-597-8585",
            "fax_number": "936-597-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TINABEN",
        "middle_name": "H.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA10513",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8536MC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

Verify at the official NPI Registry.