HERSH RAJESH PATEL MD
NPI 1043673163
Radiology - Diagnostic Radiology in Durham, NC

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
90.16/100
CMS Quality Rating
DUKE UNIVERSITY MEDICAL CENTER, DURHAM, NC 27710(919) 684-2711 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2021, Feb 18, 2019 (2 updates tracked since 2019).

About Hersh Rajesh Patel Md NPPES

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

HERSH RAJESH PATEL MD (NPI 1043673163) is an individual diagnostic radiology provider in Durham, North Carolina, licensed in North Carolina (2021-00543) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Conway Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043673163
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameHERSH RAJESH PATELCredential: MD
Location AddressDUKE UNIVERSITY MEDICAL CENTERDurham, NC 27710-4870
Mailing Address2530 Erwin Rd Apt 145Durham, NC 27705-4763 · (919) 656-9539
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateJuly 29, 20212 updates tracked since enumeration
NPPES CertifiedJuly 4, 2021
NPI 1043673163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in NC · 2021-00543 Licensed in NY · 290748
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

DUKE UNIVERSITY MEDICAL CENTER, Durham, NC 27710

Secondary Practice Locations 2

Location 1525 E 68th StNew York, NY 10065-4870 · Phone (919) 656-9539
Location 2500 J Clyde Morris Blvd, Second Floor AnnexNewport News, VA 23601-1929 · Phone (919) 656-9539

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

Hersh Rajesh Patel Md 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 ID2961800602
PECOS Enrollment IDI20220923000503, I20220929001359
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 62

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,302 services1,235 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
450 services443 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
403 services394 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
306 services300 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
214 services211 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
143 services143 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Conway Medical Center

Acute Care Hospitals · Conway, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420049
Location300 Singleton Ridge RoadConway, SC 29526 · Horry County
Emergency services Birthing friendly

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420085
Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County
Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420105
Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

90.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.29
Improvement Activities40
Cost77.7

Other Providers at the Same Location NPPES 15

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

Physician Assistant
DUKE UNIVERSITY MEDICAL CENTER, 2301 ERWIN ROAD
DURHAM, NC 27710
Pathology (Anatomic Pathology & Clinical Pathology)
DUKE UNIVERSITY MEDICAL CENTER, DEPT. OF PATHOLOGY BOX 3712
DURHAM, NC 27710
Student in an Organized Health Care Education/Training Program
DUKE UNIVERSITY MEDICAL CENTER, ALLERGY IMMUNOLOGY
DURHAM, NC 27710
Plastic Surgery (Plastic Surgery Within the Head and Neck)
DUKE UNIVERSITY MEDICAL CENTER, 40 MEDICINE CIRCLE, CLINIC 1J
DURHAM, NC 27710
Genetic Counselor, MS
DUKE UNIVERSITY MEDICAL CENTER, DUKE SOUTH CLINICS, RED ZONE, RM 3828A
DURHAM, NC 27710
Pediatrics
DUKE UNIVERSITY MEDICAL CENTER, 2301 ERWIN ROAD
DURHAM, NC 27710
Internal Medicine
DUKE UNIVERSITY MEDICAL CENTER, BOX 3913
DURHAM, NC 27710
Clinic/Center (Oncology)
DUKE UNIVERSITY MEDICAL CENTER, DUKE SOUTH DUMC 3052
DURHAM, NC 27710

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 Hersh Patel's NPI number?

The NPI number for Hersh Patel is 1043673163. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Hersh Patel located?

Hersh Patel practices at Duke University Medical Center, Durham, NC 27710. The listed phone number is (919) 684-2711.

What is Hersh Patel's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Hersh Patel enrolled in Medicare?

Yes. Hersh 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.

Is Hersh Patel affiliated with any hospitals?

According to CMS data, Hersh Patel is affiliated with Conway Medical Center, Mcleod Regional Medical Center-Pee Dee, Grand Strand Regional Medical Center and Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Hersh Patel was last updated on July 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.