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DR. HEMALI P PATEL M.D.
NPI 1053573204
Hospitalist in Aurora, CO

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
12401 E 17TH AVE, SUITE 450B MAIL STOP F-782, AURORA, CO 80045(720) 848-4289(720) 848-4293 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Hemali P Patel M.d. NPPES

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

DR. HEMALI P PATEL M.D. (NPI 1053573204) is an individual hospitalist provider in Aurora, Colorado, licensed in Colorado (DR.0054042) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of University Of South Florida College Of Medicine (2008).

NPPES Registry Identity

NPI1053573204
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. HEMALI P PATELCredential: M.D.
Location Address12401 E 17TH AVE, SUITE 450B MAIL STOP F-782Aurora, CO 80045-2548
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Phone(720) 848-4289
Fax(720) 848-4293
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2008
Enumeration DateJune 30, 2008
Last NPPES UpdateJanuary 6, 2026
NPPES CertifiedJanuary 6, 2026
✔ NPI 1053573204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CO · DR.0054042
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
12401 E 17TH AVE, Aurora, CO 80045
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Secondary Practice Location 1

Location 12450 S Peoria St Ste 248Aurora, CO 80014-5475 · Phone (303) 752-7747

Other Identifiers 1

Medicaid10436006CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Dr. Hemali P Patel M.d. 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 ID7113197641
PECOS Enrollment IDI20140919000542
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
111 services40 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

DR. ANDREW KOCHVAR DO
Student in an Organized Health Care Education/Training Program
12401 E 17TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
DR. STEPHEN PAUL DUNTLEY MD
Psychiatry & Neurology (Sleep Medicine)
12401 E 17TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
TIFFANY ANN GOOLSBY PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12401 E 17TH AVE
AURORA, CO 80045
Adams County (720) 848-8602
ANDREW MANSOUR PHARMD
Pharmacist
12401 E 17TH AVE
AURORA, CO 80045
Adams County (720) 848-7873
ANTONIO CERVANTES GONZALEZ
Student in an Organized Health Care Education/Training Program
12401 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-7422
DR. JEANNETTE GUERRASIO MD
Hospitalist
12401 E 17TH AVE, MAIL CODE F782
AURORA, CO 80045
Adams County (720) 848-4289
ANDREW HENNINGER RN
Registered Nurse
12401 E 17TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
DANIELLE WADE LCSW
Social Worker (Clinical)
12401 E 17TH AVE
AURORA, CO 80045
Adams County (720) 848-0000

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 Hemali Patel's NPI number?

The NPI number for Hemali Patel is 1053573204. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Hemali Patel located?

Hemali Patel practices at 12401 E 17th Ave Suite 450B Mail Stop F-782, Aurora, CO 80045. The listed phone number is (720) 848-4289.

What is Hemali Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Hemali Patel enrolled in Medicare?

Yes. Hemali 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.

What insurance does Hemali Patel accept?

Health plans from Medica list Hemali Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hemali Patel was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.