Individual provider Active NPI

Kiran Rana Patel, M.D

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1992891170
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
M1305 Issued in TX
Practice address
650 W. Bough Lane
Suite 150-127
Houston, TX 77024
Phone
(713) 256-4532
NPI assigned
Oct 5, 2006
Last updated
Mar 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X M1305 TX Primary
Spinal Cord Injury Medicine Physician 2081P0004X M1305 TX

Addresses

Primary practice location

650 W. Bough Lane
Suite 150-127
Houston, TX 77024

Mailing address

650 W. Bough Lane
Suite 150-127
Houston, TX 77024
Phone (713) 256-4532

Other identifiers 2

IdentifierTypeStateIssuer
176161101MedicaidTX
176131401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050622001245 TX Practitioner - Physical Medicine and Rehabilitation 5395780142 Reassigns benefits to 2 organizations
I20181029002095 SC Practitioner - Physical Medicine and Rehabilitation 5395780142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1325 Hwy 6
Sugar Land, TX 77478-4906
Phone (281) 276-7574

1795 Doctor Frank Gaston Blvd
Rock Hill, SC 29732-1190
Phone (713) 850-1190

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1305TXMDSpinal Cord Injury Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Sep 1, 2015 Accepting new patients
Ut Physicians CurrentSince Sep 1, 2015 Accepting new patients
PM&R Consultants, PLLC Physical Medicine & Rehabilitation CurrentSince Dec 12, 2017 Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Locations

1795 Frank Gaston Blvd
Rock Hill, SC 29732
Phone (516) 849-8385

1333 Moursund St
Houston, TX 77030
Phone (713) 797-5912

1800 W 26th St
Houston, TX 77008
Phone (713) 868-9177

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

650 W Bough Ln
Ste 150127
Houston, TX 77024
Phone (713) 256-4532

1325 Highway 6
Sugar Land, TX 77478
Phone (281) 276-7574

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1992891170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W. BOUGH LANE",
            "address_2": "SUITE 150-127",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "713-256-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W. BOUGH LANE",
            "address_2": "SUITE 150-127",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "713-256-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KIRAN",
        "middle_name": "RANA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "M1305",
            "primary": true
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "TX",
            "license": "M1305",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176161101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176131401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.