HIRAL M PATEL CNP
NPI 1083048870
Nurse Practitioner in Hilliard, OH
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 Riverside Methodist Hospital, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Hiral Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hilliard, OH 43026
- Reassigned Medicare billing, Ohio enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverside Methodist Hospital
Acute Care Hospitals · Columbus, OHDoctors Hospital
Acute Care Hospitals · Columbus, OHPhysician 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.
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.
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.
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.
Which organization bills Medicare for Hiral Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hiral Patel reassigns Medicare benefits to Rajesh Madan, MD, PC (Hilliard, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hiral Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hiral Patel accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers 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 Riverside Methodist Hospital and 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.
# Hiral M Patel, CNP · NPI 1083048870
Nurse Practitioner physician in Hilliard, Ohio. Individual provider, active in the CMS NPPES registry since August 28, 2013.
## Identity
- **NPI:** 1083048870 (Entity type: Individual)
- **Enumerated:** August 28, 2013
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 14916-NP (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 4531 CEMETERY RD, Hilliard, OH 43026-1102
- **Phone:** (614) 527-8787
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rajesh Madan, MD, PC (NPI 1720103005, Hilliard, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** April 19, 2022
- **Other identifiers:** Medicaid 0090176 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1083048870) · Data from the CMS NPPES public registry.