HIRAL M PATEL CNP
NPI 1083048870
Nurse Practitioner in Hilliard, OH

Q: What is Hiral Patel's NPI number?

The NPI number for Hiral Patel is 1083048870. It was assigned to this individual provider in the NPPES registry on August 28, 2013.

Q: What is Hiral Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Hiral Patel was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 28, 2013PECOS EnrolledAccepts Medicare Assignment

4531 CEMETERY RD, HILLIARD, OH 43026(614) 527-8787 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Hiral M Patel Cnp NPPES

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

HIRAL M PATEL CNP (NPI 1083048870) is an individual nurse practitioner in Hilliard, Ohio, licensed in Ohio (14916-NP) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Doctors Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083048870

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameHIRAL M PATELCredential: CNP

Location Address4531 CEMETERY RDHilliard, OH 43026-1102

Mailing Address4531 Cemetery RdHilliard, OH 43026-1102 · (614) 527-8787

Phone(614) 527-8787

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 28, 2013

Last NPPES UpdateApril 19, 2022

NPPES CertifiedApril 19, 2022

✔ NPI 1083048870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · 14916-NP

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4531 CEMETERY RD, Hilliard, OH 43026

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Other Identifiers 1

Medicaid0090176OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Hiral M Patel Cnp 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 ID5799929071

PECOS Enrollment IDI20130926000797

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.

Hospital Affiliations CMS Care Compare

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

Doctors Hospital

Acute Care Hospitals · Columbus, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360152

Location5100 West Broad StreetColumbus, OH 43228 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers12 claims15 services$5.70 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 2

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

RAJESH MADAN, MD, PC

Internal Medicine

4531 CEMETERY RD
HILLIARD, OH 43026

Franklin County (614) 527-8787

DR. RAJESH MADAN MD

Internal Medicine

4531 CEMETERY RD
HILLIARD, OH 43026

Franklin County (614) 527-8787

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 1083048870. It was assigned to this individual provider in the NPPES registry on August 28, 2013.

Where is Hiral Patel located?

Hiral Patel practices at 4531 Cemetery Rd, Hilliard, OH 43026. The listed phone number is (614) 527-8787.

What is Hiral Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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.

What insurance does Hiral Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Oscar Health Insurance list Hiral 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.

Is Hiral Patel affiliated with any hospitals?

According to CMS data, Hiral Patel is affiliated with Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Hiral Patel was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.