1. Home
  2. Directory
  3. North Carolina
  4. Huntersville
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. HIREN B PATEL MD
NPI 1225042831
Internal Medicine - Infectious Disease in Huntersville, NC

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
16525 HOLLY CREST LN STE 220, HUNTERSVILLE, NC 28078(704) 384-1940 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Jun 1, 2026, May 12, 2026 and 1 more (4 updates tracked since 2016).

About Dr. Hiren B Patel Md NPPES

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

DR. HIREN B PATEL MD (NPI 1225042831) is an individual infectious disease provider in Huntersville, North Carolina, licensed in North Carolina (2026-01281) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Huntersville Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1225042831
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. HIREN B PATELCredential: MD
Location Address16525 HOLLY CREST LN STE 220Huntersville, NC 28078-4909
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (423) 915-1126
Phone(704) 384-1940
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 28, 2006
Last NPPES UpdateAugust 12, 20264 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1225042831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in NC · 2026-01281✔ Licensed in TN · 37711
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD37711 (TN)
16525 HOLLY CREST LN STE 220, Huntersville, NC 28078
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1130 W Ravine RdKingsport, TN 37660-3837 · Phone (423) 224-4000 · Fax (423) 224-4000
Location 22000 Brookside Dr Fl 4Kingsport, TN 37660-4627 · Phone (423) 857-7000
Location 31 Medical Park BlvdBristol, TN 37620-7430 · Phone (423) 844-1121
Location 41420 Tusculum BlvdGreeneville, TN 37745-4279 · Phone (423) 783-6400

Other Identifiers 1

Medicaid3886961TN

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

Dr. Hiren B Patel Md 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 ID2961481437
PECOS Enrollment IDI20040717000379, I20260520000083
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
271 services86 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.
91 services83 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.
46 services25 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.
27 services21 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.
14 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Huntersville Medical Center

Acute Care Hospitals · Huntersville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340183
Location10030 Gilead RoadHuntersville, NC 28078 · Mecklenburg County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440176
Location2000 Brookside DrKingsport, TN 37660 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28078 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

NOVANT HEALTH MEDICAL GROUP, LLC
Internal Medicine (Infectious Disease)
16525 HOLLY CREST LN STE 220
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 384-1940
DR. PAULA DILANCHIAN DO
Internal Medicine (Infectious Disease)
16525 HOLLY CREST LN STE 220
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 384-1940

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 Hiren Patel's NPI number?

The NPI number for Hiren Patel is 1225042831. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Hiren Patel located?

Hiren Patel practices at 16525 Holly Crest Ln Ste 220, Huntersville, NC 28078. The listed phone number is (704) 384-1940.

What is Hiren Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Hiren Patel enrolled in Medicare?

Yes. Hiren 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.

Is Hiren Patel affiliated with any hospitals?

According to CMS data, Hiren Patel is affiliated with Novant Health Huntersville Medical Center, Wellmont Holston Valley Medical Center and Indian Path Community Hospital.

When was this NPI record last updated?

The NPPES record for Hiren Patel was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.