Dr Setul G Patel, MD - Medicare Emergency Medicine in Houston, TX

Dr Setul G Patel, MD is a medicare enrolled "Emergency Medicine" physician in Houston, Texas. He went to University Of Virginia School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Bay Area Emergency Partners, Integrative Emergency Services Physician Group-houston Pllc, Physicians Referral Service and his current practice location is 1515 Holcombe Blvd, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (713) 792-6161.

Dr Setul G Patel is licensed to practice in Texas (license number M4432) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285608463.

Contact Information

Dr Setul G Patel, MD
1515 Holcombe Blvd,
Houston, TX 77030-4000
(713) 792-6161
Not Available

Map and Direction




Physician's Profile

Full NameDr Setul G Patel
GenderMale
SpecialityEmergency Medicine
Experience21 Years
Location1515 Holcombe Blvd, Houston, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Setul G Patel attended and graduated from University Of Virginia School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1285608463
  • Provider Enumeration Date: 02/15/2006
  • Last Update Date: 10/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183646516
  • Enrollment ID: I20070517000136

Medical Identifiers

Medical identifiers for Dr Setul G Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285608463NPI-NPPES
8S9235OtherTXBCBSTX PROVIDER NO.
188306810MedicaidTX
188306811OtherTXCSHCN TPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine M4432 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chi St. Lukes' Brazosport HospitalLake jackson, TXHospital
Ad Hospital East, LlcHouston, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bay Area Emergency Partners46887071105
Integrative Emergency Services Physician Group-houston Pllc7113258500113
Physicians Referral Service79118014102364

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Setul G Patel allows following entities to bill medicare on his behalf.
Entity NameTuba City Regional Health Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548294424
PECOS PAC ID: 4284542531
Enrollment ID: O20031105000107
Entity NamePhysicians Referral Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073574810
PECOS PAC ID: 7911801410
Enrollment ID: O20031125000953
Entity NameBay Area Emergency Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093032963
PECOS PAC ID: 4688707110
Enrollment ID: O20100804000049
Entity NameIntegrative Emergency Services Physician Group-houston Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801458708
PECOS PAC ID: 7113258500
Enrollment ID: O20191016002208

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Setul G Patel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Setul G Patel, MD
Po Box 4439,
Houston, TX 77210-4439

Ph: (713) 792-2991
Dr Setul G Patel, MD
1515 Holcombe Blvd,
Houston, TX 77030-4000

Ph: (713) 792-6161

Reviews and Comments


Emergency Medicine Doctors in Houston, TX

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.