DR. ACHAL PATEL (M.D.) – Neurological Surgery Physician, NPI 1265723019

DR. ACHAL PATEL (M.D.) is a healthcare provider. based in Edinburg, Texas. specializing in NEUROSURGERY. They hold the professional credentials M.D.. They hold a License No. R4302 (TX). The NPI Number for DR. ACHAL PATEL (M.D.) is 1265723019

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. ACHAL PATEL (M.D.)
NPI
1265723019
Phone
(956) 362-8501
Address
2821 MICHAELANGELO DR STE 304
Enumeration Date
27 April 2011
Last Update Date
11 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
9563628500
Graduation Year
2011 (15 years ago)
PAC ID
1355620527
Group Practice PAC ID
1153409867
Professional Enrollment ID
I20180604002027
Address ID
TX785391405ED2821XDRXX414
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

588 NEUROSURGERY in TX

Provider Addresses for DR. ACHAL PATEL (M.D.)

  • 2821 MICHAELANGELO DR STE 304

    EDINBURG, TX 78539

    Phone: (956) 362-8501

    Fax: (956) 362-8505

    Type: Location

  • PO BOX 749

    PHARR, TX 785771614

    Phone: (956) 362-8500

    Fax: (956) 362-8505

    Type: Mailing

  • 5519 DOCTORS DR

    EDINBURG, TX 785395563

    Phone: (956) 362-8500

    Fax: (956) 362-8505

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2023-07-14 • Largest payer in this snapshot: Medtronic, Inc. ($39).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$39
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: 2018-06-04

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
I20180604002027INeurosurgeryTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8061$0
99203New patient office or other outpatient visit, 30-44 minutes6262$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1717$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 78539)

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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: 1153409867View full group profile
NameSpecialtyState
Internal MedicineTX
Physician AssistantTX
-TX
Diagnostic RadiologyOK
Family PracticeTX
Diagnostic Radiology, Interventional RadiologyTX
Diagnostic Radiology, Interventional RadiologyTX
Diagnostic RadiologyIL
Otolaryngology, Pediatric MedicineTX
Physician AssistantTX

Reviews

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Frequently asked questions

What number should I use to identify DR. ACHAL PATEL (M.D.) for billing?
Administrative and clinical systems typically use NPI 1265723019 for DR. ACHAL PATEL (M.D.).
Should I treat DR. ACHAL PATEL (M.D.) as an active provider?
Patients and plans typically see DR. ACHAL PATEL (M.D.) as active in the national extract.
What does the directory say DR. ACHAL PATEL (M.D.) does?
Insurance directories may phrase it differently, but here DR. ACHAL PATEL (M.D.) maps to Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. ACHAL PATEL (M.D.)?
The directory associates DR. ACHAL PATEL (M.D.) with Edinburg, Texas. Check all listed addresses for suites or satellite offices.
Who maintains DR. ACHAL PATEL (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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