Active NPI 1922028687 Individual Practitioner Male Practitioner

Dr. Pushpa R. Pathak , MD

Internal Medicine • Dallas, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pushpa Pathak, MD is a certified Internal Medicine practicing in Dallas, TX. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Pathak delivers high-quality medical care to the local community at 5201 HARRY HINES BLVD.

Dr. Pathak is affiliated with Dallas County Hospital District and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5201 Harry Hines Blvd
Ambulatory Care Clinic

Dallas, TX 752357708

Telephone 2145905512

Fax 2145905491

Associated Practice Facility / Clinic

🏢 Ambulatory Care Clinic (Acc) Facility NPI 1316914666

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dallas, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +15.7 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

989 Specialists

Practicing in Dallas, TX (9538 Statewide)

Telehealth Adoption Rate

20.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pathak (37 Years) 37 Yrs

Dallas Specialty Average (21.3 Years) 21.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$358.45	$95.08
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$247.87	$64.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$241.88	$65.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	23	$455.68	$98.50
99213 Established patient office or other outpatient visit, typically 15 minutes	19	15	$300.89	$66.87
99441 Telephone medical discussion with physician, 5-10 minutes	18	18	$113.11	$35.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	34	$325.27	$100.56
99441 Telephone medical discussion with physician, 5-10 minutes	28	27	$108.71	$36.32
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$227.33	$68.00
99442 Telephone medical discussion with physician, 11-20 minutes	19	15	$214.00	$68.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99442 Telephone medical discussion with physician, 11-20 minutes	57	44	$214.00	$52.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$323.00	$80.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$315.00	$207.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	95	$305.47	$80.04
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$221.76	$51.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	128	$295.73	$78.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	29	$475.03	$111.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$225.00	$136.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	118	$270.32	$78.70
99213 Established patient office or other outpatient visit, typically 15 minutes	36	31	$183.00	$51.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$225.00	$136.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$315.00	$202.71
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$235.27	$50.70

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX L5509

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

181620903 (TX)

Medicaid State Provider ID

181620901 (TX)

Medicaid State Provider ID

181620902 (TX)

Commercial Insurance / Payer ID Blue Cross Blue Shield

8K4032 (TX)

Hospital & Practice Group Affiliations

Dallas County Hospital District

1800 N Britain Rd, Irving, TX 750612630

Phone: 2142663000

Dallas County Hospital District

5200 Harry Hines Blvd, Dallas, TX 752357709

Phone: 2145908006

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

Dr. Manju Agrawal , MD

Family Medicine

NPI 1063497139

Doctor of Medicine (M.D.)

Deborah Miller-Stevens , FNP

Nurse Practitioner - Family

NPI 1073598546

Family Nurse Practitioner

Dr. Kim Bahl , OD

Optometrist

NPI 1114908605

Doctor of Optometry

Adrian Preston , CRNA

Nurse Anesthetist, Certified Registered

NPI 1154509875

Certified Registered Nurse Anesthetist

Samantha Beans , RN, FNP

Nurse Practitioner

NPI 1265735559

Registered Nurse, Family Nurse Practitioner

Carl Malmberg , PA-C

Physician Assistant

NPI 1285619718

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 03, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location September 03, 2009

Registered at 5201 HARRY HINES BLVD, AMBULATORY CARE CLINIC, DALLAS, TX 752357708 (Tel: 2145905512)

📍

Updated Business Mailing Address September 03, 2009

Registered at PO BOX 660599, DALLAS, TX 752660599

👤

Provider Name / Credentials Updated September 03, 2009

Recorded as PUSHPA PATHAK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2009

Internal Medicine (License #L5509 in TX)

🟢

Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922028687

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 19, 2006

Last Update: September 03, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 660599

Dallas, TX 752660599

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.