Anilkumar Patel, M.D.
NPI 1538188941 · Internal Medicine Physician · Plano, TX
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anilkumar Patel, M.D. is a Internal Medicine Physician provider in Plano, TX (NPI 1538188941).
Provider details
- NPI number
- 1538188941
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- M2004 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
3,640 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 1,955 | $75 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 996 | $113 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 277 | $165 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 250 | $77 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 87 | $109 |
| Advance Care Planning, First 30 Minutes99497 | 50 | $71 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 98 | 97 |
| Cefdinir | 54 | 54 |
| Prednisone | 49 | 48 |
| Furosemide | 45 | 45 |
| Potassium Chloride | 39 | 39 |
| Apixabanbrand: Eliquis | 36 | 33 |
| Atorvastatin Calcium | 36 | 36 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$42 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2019-03-14
Frequently asked questions
- What is Anilkumar Patel's NPI number?
- Anilkumar Patel's National Provider Identifier (NPI) is 1538188941, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anilkumar Patel's specialty?
- Anilkumar Patel is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Anilkumar Patel located?
- Anilkumar Patel's practice location on file with NPPES is 4116 W Spring Creek Pkwy Ste 400c, Plano, TX 75024-5238.
- What is Anilkumar Patel's phone number?
- The practice phone number listed in the NPPES registry for Anilkumar Patel is (469) 983-5000.
- Does Anilkumar Patel accept Medicare?
- Anilkumar Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anilkumar Patel's NPI active?
- Yes — Anilkumar Patel's NPI (1538188941) is active in the NPPES registry as of the last update on 2019-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.