Ketki Patel, M.D.
NPI 1255629465 · Family Medicine Physician · Longview, TX
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketki Patel, M.D. is a Family Medicine Physician provider in Longview, TX (NPI 1255629465).
Provider details
- NPI number
- 1255629465
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2014-01424 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
509 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 234 | $125 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 176 | $16 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 47 | $89 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 38 | $128 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus and Influenza87428 | 14 | $69 |
Typical Medicare-allowed amounts for these services range $16–$128 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 87 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 365 | 111 |
| Amlodipine Besylate | 223 | 74 |
| Lisinopril | 174 | 57 |
| Losartan Potassium | 149 | 46 |
| Levothyroxine Sodium | 132 | 42 |
| Pantoprazole Sodium | 129 | 47 |
| Hydrochlorothiazide |
Practice location
Mailing address
Additional practice locations (2)
- 911 Bypass RdPikeville, KY 41501-1689Phone: (606) 218-3500Fax: (606) 218-4562
- 323 E Hawkins PkwyLongview, TX 75605-8153Phone: (903) 247-3400
Registry dates
- Enumerated
- 2011-07-21
- Last updated
- 2024-11-11
- Certified
- 2024-11-11
Frequently asked questions
- What is Ketki Patel's NPI number?
- Ketki Patel's National Provider Identifier (NPI) is 1255629465, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ketki Patel's specialty?
- Ketki Patel is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ketki Patel located?
- Ketki Patel's practice location on file with NPPES is 2010 Bill Owens Pkwy, Longview, TX 75604-6210.
- What is Ketki Patel's phone number?
- The practice phone number listed in the NPPES registry for Ketki Patel is (903) 247-3400.
- Does Ketki Patel accept Medicare?
- Ketki Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ketki Patel's NPI active?
- Yes — Ketki Patel's NPI (1255629465) is active in the NPPES registry as of the last update on 2024-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.