DR. HIREN BHARATKUMAR PATEL MD
NPI 1225042831
Internal Medicine - Infectious Disease in Huntersville, NC
About Dr. Hiren Bharatkumar Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HIREN BHARATKUMAR 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 Presbyterian Medical Center, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Other Identifiers 1
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. Hiren Bharatkumar 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.
Medicare Billing Reassignments
3Medicare enrollment records show Hiren Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Huntersville, NC 28078
- Reassigned Medicare billing, North Carolina enrollment
- 2,998 clinicians in this Medicare group
Mountain City, TN 37683
- Reassigned Medicare billing, Tennessee enrollment
- Medicare enrollment name: Blue Ridge Medical Management Corporation
- 496 clinicians in this Medicare group
Kingsport, TN 37660
- Reassigned Medicare billing, Tennessee enrollment
- 81 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 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Health Presbyterian Medical Center
Acute Care Hospitals · Charlotte, NCNovant Health Huntersville Medical Center
Acute Care Hospitals · Huntersville, NCWellmont Holston Valley Medical Center
Acute Care Hospitals · Kingsport, TNIndian Path Community Hospital
Acute Care Hospitals · Kingsport, TNPhysician 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.
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.
HUNTERSVILLE, NC 28078
HUNTERSVILLE, NC 28078
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.
Which organizations bill Medicare for Hiren Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hiren Patel reassigns Medicare benefits to 3 organizations: Novant Health Medical Group, LLC (Huntersville, NC), Blue Ridge Medical Management Corpoartion (Mountain City, TN) and Wps Providers Inc (Kingsport, TN). 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 Hiren Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hiren Patel accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Hiren 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 Hiren Patel affiliated with any hospitals?
According to CMS data, Hiren Patel is affiliated with Novant Health Presbyterian Medical Center, 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 October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Hiren Bharatkumar Patel, MD · NPI 1225042831
Infectious Disease physician in Huntersville, North Carolina. Individual provider, active in the CMS NPPES registry since July 28, 2006.
## Identity
- **NPI:** 1225042831 (Entity type: Individual)
- **Enumerated:** July 28, 2006
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** 2026-01281 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 16525 HOLLY CREST LN STE 220, Huntersville, NC 28078-4909
- **Phone:** (704) 384-1940
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Novant Health Medical Group, LLC (NPI 1003332016, Huntersville, NC); Blue Ridge Medical Management Corpoartion (NPI 1770203754, Mountain City, TN); Wps Providers Inc (NPI 1003904095, Kingsport, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** October 8, 2026
- **Other identifiers:** Medicaid 3886961 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1225042831) · Data from the CMS NPPES public registry.