TARAK J PATEL (MD) – Pediatric Pulmonology Physician, NPI 1013954221

TARAK J PATEL (MD) is a healthcare provider. based in San antonio, Texas. specializing in PEDIATRIC MEDICINE, PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. K5652 (TX). The NPI Number for TARAK J PATEL (MD) is 1013954221

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
TARAK J PATEL (MD)
NPI
1013954221
Phone
(210) 704-3030
Address
333 N Santa Rosa
Enumeration Date
31 May 2006
Last Update Date
22 December 2023

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
2102495020
Graduation Year
1997 (29 years ago)
PAC ID
4587649025
Group Practice PAC ID
6901955814
Professional Enrollment ID
I20040621000341
Address ID
TX782311273SA4114XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,256 PEDIATRIC MEDICINE in TX

Provider Addresses for TARAK J PATEL (MD)

  • 333 N Santa Rosa

    San Antonio, TX 782073108

    Phone: (210) 704-3030

    Type: Location

  • 4114 POND HILL RD STE 101

    SAN ANTONIO, TX 782311273

    Phone: (210) 249-5020

    Fax: (210) 572-1540

    Type: Mailing

  • Pond Hill Road, Shavano Park, Bexar County, Texas, 78231, United States

    SUITE 101

    SAN ANTONIO, TX 78231

    Phone: (210) 249-5020

    Fax: (210) 494-2209

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 141 Open Payments records for all available years, with a total value of $3,129.

Total Amount is formed as General ($3,129) + Research ($0) + Ownership ($0) = $3,129.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: HARMONY BIOSCIENCES LLC ($505).

Total Amount

$3,129

General + Research + Ownership

Payments

141

Total payment records

General Amount

$3,129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040621000341IPediatric MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78207)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901955814View full group profile
NameSpecialtyState
N E U R O L O G YTX
Pediatric Medicine, Pulmonary DiseaseTX
-TX

Reviews

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Frequently asked questions

What number should I use to identify TARAK J PATEL (MD) for billing?
Administrative and clinical systems typically use NPI 1013954221 for TARAK J PATEL (MD).
Is TARAK J PATEL (MD)'s NPI status active today?
Active status means TARAK J PATEL (MD)'s NPI record is not deactivated in the public file.
What type of care does TARAK J PATEL (MD) provide?
TARAK J PATEL (MD)'s profile centers on Pediatric Pulmonology Physician. Clinical services aligned with this taxonomy classification.
Is TARAK J PATEL (MD) tied to San Antonio, Texas?
If you are local to San Antonio, Texas, TARAK J PATEL (MD) may be relevant to your search.
Who maintains TARAK J PATEL (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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