DR. HEJAL C PATEL M.D.
NPI 1174746168
Radiology - Radiation Oncology in Dothan, AL

Q: What is Hejal Patel's NPI number?

The NPI number for Hejal Patel is 1174746168. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Q: What is Hejal Patel's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Hejal Patel was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 April 10, 2007PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

4274 W MAIN ST, DOTHAN, AL 36305(334) 793-2312(334) 671-0484 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Hejal C Patel M.d. NPPES

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

DR. HEJAL C PATEL M.D. (NPI 1174746168) is an individual radiation oncology provider in Dothan, Alabama, licensed in Alabama (27123) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of University Of Alabama School Of Medicine (2002).

NPPES Registry Identity

NPI1174746168

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameDR. HEJAL C PATELCredential: M.D.

Location Address4274 W MAIN STDothan, AL 36305-1062

Mailing AddressPo Box 931176Atlanta, GA 31193-1176

Phone(334) 793-2312

Fax(334) 671-0484

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2002

Enumeration DateApril 10, 2007

Last NPPES UpdateFebruary 26, 2026

NPPES CertifiedFebruary 26, 2026

✔ NPI 1174746168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in AL · 27123

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

4274 W MAIN ST, Dothan, AL 36305

Open in Google Maps ↗

Secondary Practice Locations 5

Location 1104 Medical Park DrAndalusia, AL 36420-5357 · Phone (334) 427-5001 · Fax (334) 427-5002

Location 212705 Toepperwein RdLive Oak, TX 78233-3257 · Phone (210) 816-4770 · Fax (210) 816-4771

Location 38019 S New Braunfels Ste 101San Antonio, TX 78235-1069 · Phone (210) 981-3051 · Fax (210) 981-3052

Location 43031 Carters Mill RdMarianna, FL 32446-1902 · Phone (850) 526-2104 · Fax (850) 482-2445

Location 5203 E Adams AveEnterprise, AL 36330-2546 · Phone (334) 347-5316 · Fax (334) 347-5314

Other Identifiers 9

Medicaid100170AL

Medicaid000788702 (AAL)FL

Other515-46239AL · Bcbs Of Al

Other515-48253AL · Bc Bs Al (dothan)

Other510I920008AL · Medicare Ptan (dothan)

Other511-18118AL · Bc Bs Of Al (andalusia)

Medicaid100172AL

Medicaid130012AL

Other315016423AGA · Ga Medicaid

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.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. Hejal C Patel M.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 ID9931299898

PECOS Enrollment IDI20080124000292, I20171116003156

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 Hejal Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Limitless Partners, LLC

Same address

Radiation Oncology

4274 W MAIN ST
Dothan, AL 36305

Reassigned Medicare billing, Alabama and Florida enrollments
2 clinicians in this Medicare group

NPI 1538937677 (334) 793-2312

Genesiscare Usa Of Alabama LLC

8.0 mi

Radiation Oncology

4274 W MAIN ST
Dothan, AL 36305

Reassigned Medicare billing, Alabama enrollment
2 clinicians in this Medicare group

NPI 1831385632 (334) 793-2312

21st Century Oncology LLC

74 mi

Urology

131 E REDSTONE AVE, SUITE 102
Crestview, FL 32539

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Genesiscare Usa Of Florida LLC
284 clinicians in this Medicare group

NPI 1346561289 (850) 682-6333

Genesiscare Landmark Texas Cancer Care PA

778 mi

Radiation Oncology

12705 TOEPPERWEIN RD
Live Oak, TX 78233

Reassigned Medicare billing, Texas enrollment
2 clinicians in this Medicare group

NPI 1376154534 (210) 816-4770

Lone Star Mission Oncology Network

787 mi

Radiation Oncology

8019 S NEW BRAUNFELS STE 101
San Antonio, TX 78235

Reassigned Medicare billing, Texas enrollment
2 clinicians in this Medicare group

NPI 1447109566 (210) 981-3051

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 28

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.

Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session G6015

Intensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulatingâ€”or controllingâ€”the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.

3,855 services154 patients

Ct guidance for insertion of radiation therapy fields 77014

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

3,421 services146 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

1,698 services184 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

1,159 services195 patients

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev G6012

Radiation therapy involves directing high-energy particles to destroy cancer cells. The technique targets 3 or more areas, using custom blocks for precise focus. Tangential ports, wedges, and rotational beams adjust the radiation's path, while compensators balance radiation dose. Electron beam therapy with 6-10 mev energy is used for deep-seated tumors.

1,100 services49 patients

Continuing radiation therapy consultation per week 77336

Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.

1,047 services196 patients

Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy G6002

Stereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.

533 services38 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

301 services177 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.

231 services149 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

200 services175 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

177 services131 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

168 services134 patients

Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment G6017

In radiation therapy, intra-fraction localization and tracking monitor patient or target movement during treatment. This ensures that radiation is accurately delivered to the correct area. Techniques like 3D positional tracking, gating, and 3D surface tracking are used to enhance precision.

129 services11 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

102 services102 patients

Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved 77290

This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.

96 services82 patients

Special radiation treatment 77470

Special radiation treatment is a medical procedure that uses high-energy rays to destroy or damage cancer cells. It's a targeted approach that aims to minimize harm to healthy tissues. The treatment duration varies based on individual health conditions.

84 services70 patients

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.

71 services54 patients

Cranial lesion surgery using radiation over multiple sessions 77373

Cranial lesion surgery using radiation involves targeting abnormal tissue in the brain with high-energy rays. This non-invasive procedure is done over multiple sessions to gradually destroy the lesion without harming healthy tissue. It's a precise, painless process often used when traditional surgery isn't possible.

52 services13 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

48 services44 patients

Special medical radiation therapy consultation 77370

A special medical radiation therapy consultation involves discussing the use of high-energy radiation to treat diseases, primarily cancer. It's a chance to understand the process, potential side effects, and benefits. It is a key step in planning your treatment.

43 services40 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.

43 services43 patients

Special radiation therapy planning 77331

Special radiation therapy planning is a process to determine the most effective way to deliver radiation treatment. It involves imaging studies to map your body's internal structure, which helps in targeting the exact area needing treatment while sparing healthy tissues.

42 services31 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

40 services40 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.

35 services35 patients

Design and construction of intermediate radiation treatment device 77333

The design and construction of an intermediate radiation treatment device is a process where a custom device is made to help deliver radiation therapy. This device is designed to focus radiation beams precisely on the area needing treatment, minimizing exposure to surrounding healthy tissues.

33 services28 patients

Design and construction of simple radiation treatment device 77332

A simple radiation treatment device is designed and built to target specific areas in your body with high energy rays. This process is carefully planned to ensure that the radiation accurately reaches the area needing treatment, while minimizing exposure to healthy tissues.

22 services17 patients

Obtaining respiratory data needed to develop the optimal radiation treatment 77293

Obtaining respiratory data is vital for optimal radiation treatment. This involves tracking your breathing patterns to ensure the precise delivery of radiation to the target area, minimizing damage to healthy tissue. It's a non-invasive process and contributes to effective treatment.

14 services13 patients

3d radiation therapy planning 77295

3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36305 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

$161.63 typical visit price

range $52.65 – $161.63

Typical copayment $40.40 (range $13.16 – $40.40)

Most-billed visit code 99205

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

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.

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.

0/100

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

Individually scored

Quality

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

81%32 patients4/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

47%60 patients3/55-star benchmark: 85%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

96%109 patients4/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

91%139 patients4/55-star benchmark: 100%

Oncology: Medical and Radiation - Pain Intensity Quantified

Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified

86%97 patients3/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

21%462 patients1/55-star benchmark: 100%

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

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

68%99 patients3/55-star benchmark: 97%

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

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients tobacco: 97% · 32 patients

97%32 patients

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

36%462 patients2/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

17%462 patients1/55-star benchmark: 79%

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.

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.

LIMITLESS PARTNERS, LLC

Radiology (Radiation Oncology)

4274 W MAIN ST
DOTHAN, AL 36305

Houston County (334) 793-2312

ALI DANIELLE LOFLIN CRNP

Nurse Practitioner (Family)

4274 W MAIN ST
DOTHAN, AL 36305

Houston County (334) 793-2312

GENESISCARE USA OF ALABAMA LLC

Radiology (Radiation Oncology)

4274 W MAIN ST
DOTHAN, AL 36305

Houston County (334) 793-2312

PAUL W. ADAMS, MD, PC

Radiology (Radiation Oncology)

4274 W MAIN ST
DOTHAN, AL 36305

Houston County (334) 793-2312

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 Hejal Patel's NPI number?

The NPI number for Hejal Patel is 1174746168. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Hejal Patel located?

Hejal Patel practices at 4274 W Main St, Dothan, AL 36305. The listed phone number is (334) 793-2312.

What is Hejal Patel's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Hejal Patel enrolled in Medicare?

Yes. Hejal 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 Hejal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hejal Patel reassigns Medicare benefits to 5 organizations: Limitless Partners, LLC (Dothan, AL), Genesiscare Usa Of Alabama LLC (Dothan, AL), 21st Century Oncology LLC (Crestview, FL), Genesiscare Landmark Texas Cancer Care PA (Live Oak, TX) and Lone Star Mission Oncology Network (San Antonio, TX). 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 Hejal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hejal Patel accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Alabama and 8 other insurers list Hejal 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 Hejal Patel was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.