DR. HARESH DALPAT PATEL M.D.
NPI 1104115187
Internal Medicine - Pulmonary Disease in Chesapeake, VA

Q: What is Haresh Patel's NPI number?

The NPI number for Haresh Patel is 1104115187. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Q: What is Haresh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Haresh Patel was last updated on July 21, 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 March 30, 2011PECOS Enrolled

98.3/100

CMS Quality Rating

4053 TAYLOR RD STE N, CHESAPEAKE, VA 23321(757) 484-5900 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 14, 2017 (3 updates tracked since 2017).

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About Dr. Haresh Dalpat Patel M.d. NPPES

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

DR. HARESH DALPAT PATEL M.D. (NPI 1104115187) is an individual pulmonary disease provider in Chesapeake, Virginia, licensed in Virginia (0101262678) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1104115187

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. HARESH DALPAT PATELCredential: M.D.

Location Address4053 TAYLOR RD STE NChesapeake, VA 23321-5526

Mailing Address4053 Taylor Rd Ste NChesapeake, VA 23321-5526 · (757) 484-5900

Phone(757) 484-5900

Sole ProprietorNo

Enumeration DateMarch 30, 2011

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1104115187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in VA · 0101262678

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 0101262678 (VA)

4053 TAYLOR RD STE N, Chesapeake, VA 23321

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Secondary Practice Location 1

Location 1101 Stadium DrMorgantown, WV 26506-7911 · Phone (304) 598-4850 · Fax (304) 598-4871

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Haresh Dalpat Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Haresh Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bon Secours Medical Group Hampton Roads Specialty Care LLC

79 mi

Cardiovascular Disease

8580 MAGELLAN PKWY
Richmond, VA 23227

Reassigned Medicare billing, Virginia enrollment
386 clinicians in this Medicare group

NPI 1629637475 (804) 627-5573

Norton Community Physician Services LLC

335 mi

Internal Medicine

312 HOSPITAL DR
Clintwood, VA 24228

Reassigned Medicare billing, Virginia enrollment
55 clinicians in this Medicare group

NPI 1821896150 (276) 439-1450

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

221 services161 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

199 services76 patients

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.

103 services43 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

59 services59 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

57 services38 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

56 services56 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

42 services33 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

35 services35 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

31 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services24 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

22 services22 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

20 services13 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

20 services16 patients

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23321 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

98.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

98.83

Promoting Interoperability

100

Improvement Activities

Cost

79.28

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)

96%24 patients4/55-star benchmark: 100%

Breast Cancer Screening

78%188 patients4/55-star benchmark: 93%

Cervical Cancer Screening

27%131 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

8%145 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

56%343 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

77%290 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

12%109 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

35%113 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

21%1,039 patients1/55-star benchmark: 100%

e-Prescribing

97%555 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

98%328 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

94%586 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

91%398 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

33%349 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 86% · 291 patients

Patients screened: 88% · 291 patients

83%36 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%239 patients5/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

88%313 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 10% · 300 patients

Patients totalRate: 14% · 300 patients

11%300 patients3/55-star benchmark: 100%

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 11

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers41 claims41 services$13.76 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers24 claims24 services$591.58 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers68 claims68 services$3.68 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers140 claims140 services$65.24 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers69 claims69 services$32.81 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

6 suppliers22 claims7,227 services$0.03 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 4

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

MARYVIEW HOSPITAL

Internal Medicine (Pulmonary Disease)

4053 TAYLOR RD STE N
CHESAPEAKE, VA 23321

Chesapeake City (757) 484-5900

ABBY EILEEN O'CONNOR PA

Physician Assistant

4053 TAYLOR RD STE N
CHESAPEAKE, VA 23321

Chesapeake City (757) 484-5900

RACHEL ANGLIN PA-C

Physician Assistant (Medical)

4053 TAYLOR RD STE N
CHESAPEAKE, VA 23321

Chesapeake City (757) 484-5900

DR. MICHELLE MARIE PERELLO DO

Internal Medicine (Pulmonary Disease)

4053 TAYLOR RD STE N
CHESAPEAKE, VA 23321

Chesapeake City (757) 484-5900

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 Haresh Patel's NPI number?

The NPI number for Haresh Patel is 1104115187. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Haresh Patel located?

Haresh Patel practices at 4053 Taylor Rd Ste N, Chesapeake, VA 23321. The listed phone number is (757) 484-5900.

What is Haresh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Haresh Patel enrolled in Medicare?

Yes. Haresh Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Haresh Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haresh Patel reassigns Medicare benefits to 2 organizations: Bon Secours Medical Group Hampton Roads Specialty Care LLC (Richmond, VA) and Norton Community Physician Services LLC (Clintwood, VA). Each 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 Haresh Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haresh Patel accept?

Health plans from Cigna Healthcare list Haresh 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 Haresh Patel was last updated on July 21, 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.