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HEEMA DESAI PATEL O.D
NPI 1144604745
Optometrist in Ledgewood, NJ

Active since July 13, 2015PECOS EnrolledAccepts Medicare Assignment
410 ROUTE 10, SUITE 202, LEDGEWOOD, NJ 07852(973) 584-2020 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heema Desai Patel O.d NPPES

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

HEEMA DESAI PATEL O.D (NPI 1144604745) is an individual optometrist in Ledgewood, New Jersey, licensed in New York (TUV008286) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of State University Of New York - State College Optometry (2015).

NPPES Registry Identity

NPI1144604745
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameHEEMA DESAI PATELCredential: O.D
Location Address410 ROUTE 10, SUITE 202Ledgewood, NJ 07852
Mailing Address107 Springhill DrMorris Plains, NJ 07950-1168 · (267) 882-8099
Phone(973) 584-2020
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 2015
Enumeration DateJuly 13, 2015
Last NPPES UpdateJuly 10, 2018
✔ NPI 1144604745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · TUV008286
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
410 ROUTE 10, Ledgewood, NJ 07852
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Secondary Practice Location 1

Location 11650 Selwyn Ave, Suite 1CBronx, NY 10457-7626 · Phone (267) 882-8099

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Heema Desai Patel O.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 ID7517248792
PECOS Enrollment IDI20161230000144
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 12

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.
162 services123 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
155 services155 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
133 services71 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
125 services106 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
102 services91 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
69 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07852 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. RANDOLPH BROOKS O.D.
Optometrist
410 ROUTE 10, SUITE 202
LEDGEWOOD, NJ 07852
Morris County (973) 584-2020
DR. SUSAN MCMAHON GARDNER O.D.
Optometrist
410 ROUTE 10, SUITE 202 WEST TEN PLAZA
LEDGEWOOD, NJ 07852
Morris County (973) 584-2020
ADVANCED EYECARE ASSOCIATES, LLC
Optometrist
410 ROUTE 10, SUITE 202
LEDGEWOOD, NJ 07852
Morris County (973) 584-2020

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 Heema Patel's NPI number?

The NPI number for Heema Patel is 1144604745. It was assigned to this individual provider in the NPPES registry on July 13, 2015.

Where is Heema Patel located?

Heema Patel practices at 410 Route 10 Suite 202, Ledgewood, NJ 07852. The listed phone number is (973) 584-2020.

What is Heema Patel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Heema Patel enrolled in Medicare?

Yes. Heema 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 Heema Patel accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Heema 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 Heema Patel was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.