DR. HETAL R PATEL D.O.
NPI 1124334347
Family Medicine in Pennington, NJ
About Dr. Hetal R Patel D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HETAL R PATEL D.O. (NPI 1124334347) is an individual family medicine provider in Pennington, New Jersey, licensed in New Jersey (25MB09199000) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and is a graduate of Rowan University School Of Osteopathic Medicine (2010).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Hetal R Patel D.o. 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 Reassignments
6Medicare enrollment records show Hetal Patel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Trenton, NJ 08638
- Reassigned Medicare billing, New Jersey enrollment
- 600 clinicians in this Medicare group
Edison, NJ 08820
- Reassigned Medicare billing, New Jersey enrollment
- 351 clinicians in this Medicare group
Morristown, NJ 07960
- Reassigned Medicare billing, New Jersey enrollment
- 71 clinicians in this Medicare group
Bayonne, NJ 07002
- Reassigned Medicare billing, New Jersey enrollment
- 637 clinicians in this Medicare group
Clifton Springs, NY 14432
- Reassigned Medicare billing, New York enrollment
- 872 clinicians in this Medicare group
Sodus, NY 14551
- Reassigned Medicare billing, New York enrollment
- 2,285 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Capital Health Medical Center - Hopewell
Acute Care Hospitals · Pennington, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08534 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PENNINGTON, NJ 08534
PENNINGTON, NJ 08534
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 Hetal Patel's NPI number?
The NPI number for Hetal Patel is 1124334347. It was assigned to this individual provider in the NPPES registry on August 25, 2010.
Where is Hetal Patel located?
Hetal Patel practices at 1 Capital Way, Pennington, NJ 08534. The listed phone number is (609) 303-4000.
What is Hetal Patel's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Hetal Patel enrolled in Medicare?
Yes. Hetal 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 organizations bill Medicare for Hetal Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hetal Patel reassigns Medicare benefits to 6 organizations: Capital Health Multispecialty Group (Trenton, NJ), Hospitalist Physicians Of New Jersey PA (Edison, NJ), Ipc Hospitalist Physicians Of New Jersey PC (Morristown, NJ), Garden State Healthcare Associates, LLC (Bayonne, NJ), Clifton Springs Sanitarium Co (Clifton Springs, NY) and 1 more organization, listed in the Medicare section above. 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 Hetal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hetal Patel accept?
Health plans from Oscar Health list Hetal 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 Hetal Patel affiliated with any hospitals?
According to CMS data, Hetal Patel is affiliated with Capital Health Medical Center - Hopewell.
When was this NPI record last updated?
The NPPES record for Hetal Patel was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Hetal R Patel, D.O. · NPI 1124334347
Family Medicine physician in Pennington, New Jersey. Individual provider, active in the CMS NPPES registry since August 25, 2010.
## Identity
- **NPI:** 1124334347 (Entity type: Individual)
- **Enumerated:** August 25, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 25MB09199000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 CAPITAL WAY, Pennington, NJ 08534-2520
- **Phone:** (609) 303-4000
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Capital Health Multispecialty Group (NPI 1083072342, Trenton, NJ); Hospitalist Physicians Of New Jersey PA (NPI 1588021851, Edison, NJ); Ipc Hospitalist Physicians Of New Jersey PC (NPI 1639303159, Morristown, NJ); Garden State Healthcare Associates, LLC (NPI 1700014545, Bayonne, NJ); Clifton Springs Sanitarium Co (NPI 1366505463, Clifton Springs, NY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rowan University School Of Osteopathic Medicine, class of 2010
## Record status
- **NPPES last updated:** June 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1124334347) · Data from the CMS NPPES public registry.