MRS. HIRAL N PATEL RPA-C
NPI 1023025400
Physician Assistant - Medical in Cumming, GA

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260, CUMMING, GA 30040(770) 292-3045(770) 292-3046 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2024, Dec 20, 2016 (2 updates tracked since 2016).

About Mrs. Hiral N Patel Rpa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. HIRAL N PATEL RPA-C (NPI 1023025400) is an individual medical provider in Cumming, Georgia, licensed in Georgia (005008) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1023025400
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. HIRAL N PATELCredential: RPA-C
Location Address4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260Cumming, GA 30040
Mailing Address4150 Deputy Bill Cantrell Memorial Rd, Suite 260Cumming, GA 30040 · (770) 292-3045 · Fax (770) 292-3046
Fax(770) 292-3046
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
NPI 1023025400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 005008
4150 DEPUTY BILL CANTRELL MEMORIAL RD, Cumming, GA 30040

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Hiral N Patel Rpa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739238916
PECOS Enrollment IDI20090518000452
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
129 services101 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
87 services87 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
54 services39 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
47 services43 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
21 services16 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
93%685 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,428 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
42%302 patients2/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%267 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
45%775 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%775 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%775 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
32%775 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$27.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 290
CUMMING, GA 30040
Internal Medicine (Gastroenterology)
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 290
CUMMING, GA 30040
Nurse Practitioner (Family)
4150 DEPUTY BILL CANTRELL MEMORIAL RD
CUMMING, GA 30040
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE T200
CUMMING, GA 30040
Audiologist
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260
CUMMING, GA 30040
Otolaryngology
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260
CUMMING, GA 30040
Otolaryngology
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260
CUMMING, GA 30040
Behavior Analyst
4150 DEPUTY BILL CANTRELL MEMORIAL RD, STE T200
CUMMING, GA 30040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hiral Patel's NPI number?

The NPI number for Hiral Patel is 1023025400. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Hiral Patel located?

Hiral Patel practices at 4150 Deputy Bill Cantrell Memorial Rd Suite 260, Cumming, GA 30040. The listed phone number is (770) 292-3045.

What is Hiral Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Hiral Patel enrolled in Medicare?

Yes. Hiral Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Hiral Patel was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.