2026 NPPES data Adult Congenital Heart Disease Physician NPI 1942336078 MD
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DHAVAL PAREKH, MD

Adult Congenital Heart Disease Physician in HOUSTON, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
370
Medicare Part D claims · 46 beneficiaries · Adult Congenital Heart Disease Physician avg: 2K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.3432/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$37.4K
135 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: DHAVAL PAREKH, MD is a Adult Congenital Heart Disease Physician ([object Object]) practicing in HOUSTON, Texas with a Medicare Part D prescribing footprint of 370 claims across 46 beneficiaries — 13% brand-name prescribing . Their CMS MIPS Final Score of 91.3432/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $37.4K across 135 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: DHAVAL PAREKH, MD reported a CMS MIPS final score of 91.3432 out of 100, above the 83.1 national average, and filed 370 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

DHAVAL PAREKH, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

DHAVAL PAREKH, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 02/25/2007

NPI 1942336078

Primary specialty

Adult Congenital Heart Disease Physician

Rare

104 US NPIs in this specialty

Medicare Part D claims

370 81% vs specialty avg

2023 prescription claims

Specialty avg: 1,930

MIPS final score

91.3432/100 8.243200000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Adult Congenital Heart Disease Physician compares to other specialties among Texas providers

Texas providers

Adult Congenital Heart Disease Physician share within Texas

1. Adult Congenital Heart Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Congenital Heart Disease Physician share within Texas

Medicare quality performance — MIPS

DHAVAL PAREKH, MD's 2023 MIPS final score plotted against the Adult Congenital Heart Disease Physician national average

High performer (top quartile)
MIPS Final Score
91.3432/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Congenital Heart Disease Physician) — 91.3432/100 vs national avg 83.1

0%100%National avg83%91.3%
MIPS final score (Adult Congenital Heart Disease Physician) — 91.3432/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DHAVAL PAREKH, MD is a Adult Congenital Heart Disease Physician provider practicing in HOUSTON, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1942336078. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DHAVAL PAREKH, MD appears in the CMS NPPES registry as a Adult Congenital Heart Disease Physician provider holding MD credentials at 1504 TAUB LOOP, HOUSTON, TX, 77030, with a listed phone of (713) 873-8890. NPI 1942336078 was issued on 02/25/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PAREKH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 370 prescription claims written by this provider, covering 46 Medicare beneficiaries and totaling roughly $39K in drug spend, split 13% brand-name and 87% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.3432/100 for the 2023 performance year (Quality 81.6474), compared with the national average of 83.1.

Adult Congenital Heart Disease Physician is a narrow specialty nationwide, with 104 enrolled providers across 31 states and an average of 1,930 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1504 TAUB LOOP
HOUSTON, TX 77030

Provider Details

NPI 1942336078
Specialty Adult Congenital Heart Disease Physician
Credentials MD
Gender Male
NPI Issued 02/25/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

91.3432
Final Score
Avg: 83.1
81.6474
Quality
89.1302
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where DHAVAL PAREKH, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

BAYLOR COLLEGE OF MEDICINE
HOUSTON, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for DHAVAL PAREKH, MD. Source: openpaymentsdata.cms.gov.

Total received

$37.4K

Largest payer

Abbott Laboratories

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to DHAVAL PAREKH, MD. To verify DHAVAL PAREKH, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

DHAVAL PAREKH, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 370 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

370
Total Claims
$39K
Total Drug Cost
46
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
813
Total Day Supply
24,251
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$34K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
67.3 years
Avg HCC Risk Score
2.38
Gender Split
52% female / 48% male
Age Distribution
<65: 11, 65-74: 26, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
37
Furosemide
37
Carvedilol
33
Amlodipine Besylate
22
Isosorbide Mononitrate Er
Isosorbide Mononitrate
21
Clopidogrel
Clopidogrel Bisulfate
20
Metoprolol Succinate
19
Hydrochlorothiazide
16
Metoprolol Tartrate
14
Clonidine Hcl
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Adult Congenital Heart Disease Physician Overview

How DHAVAL PAREKH, MD fits within the Adult Congenital Heart Disease Physician landscape nationally.

104
Adult Congenital Heart Disease Physician Providers in US
31
States with Adult Congenital Heart Disease Physician
1,930
Avg Claims per Provider

DHAVAL PAREKH, MD's 370 claims are below the specialty average of 1,930.

Nearby Adult Congenital Heart Disease Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as PAREKH.

Compare Adult Congenital Heart Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DHAVAL PAREKH, MD's specialty?
DHAVAL PAREKH, MD specializes in Adult Congenital Heart Disease Physician and practices in HOUSTON, Texas. Credentials: MD.
How much does DHAVAL PAREKH, MD prescribe under Medicare Part D?
In 2023, DHAVAL PAREKH, MD wrote 370 Medicare Part D claims totaling $39K in drug costs for 46 beneficiaries.
What is DHAVAL PAREKH, MD's Medicare quality score?
DHAVAL PAREKH, MD has a CMS MIPS Final Score of 91.3432/100 (Quality: 81.6474). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DHAVAL PAREKH, MD located?
DHAVAL PAREKH, MD is located at 1504 TAUB LOOP, HOUSTON, TX, 77030. Phone: (713) 873-8890.
What is DHAVAL PAREKH, MD's NPI number?
DHAVAL PAREKH, MD's National Provider Identifier (NPI) is 1942336078, issued on 02/25/2007.
Does DHAVAL PAREKH, MD prescribe more brand-name or generic drugs?
DHAVAL PAREKH, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $34K in brand drug costs.
How many Adult Congenital Heart Disease Physician providers are there in the US?
There are 104 Adult Congenital Heart Disease Physician providers across 31 states in the US. The average Adult Congenital Heart Disease Physician provider writes 1,930 Medicare Part D claims per year.
What drugs does DHAVAL PAREKH, MD prescribe most often?
Based on 2023 Medicare Part D data, DHAVAL PAREKH, MD's most frequently prescribed drugs include Atorvastatin Calcium, Furosemide, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DHAVAL PAREKH, MD accept Medicare?
DHAVAL PAREKH, MD appears in CMS Medicare data with 370 Part D claims and 46 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DHAVAL PAREKH, MD's credentials?
DHAVAL PAREKH, MD's NPI is 1942336078 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology