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DR. HEMAL D PATEL MD
NPI 1225490022
Internal Medicine - Geriatric Medicine in Newport News, VA

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
1000 OLD DENBIGH BLVD STE 1020A, NEWPORT NEWS, VA 23602(757) 875-2009 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2025, Oct 15, 2020, Oct 9, 2020 and 3 more (6 updates tracked since 2016).

About Dr. Hemal D Patel Md NPPES

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

DR. HEMAL D PATEL MD (NPI 1225490022) is an individual geriatric medicine provider in Newport News, Virginia, licensed in Virginia (0101266606) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1225490022
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. HEMAL D PATELCredential: MD
Location Address1000 OLD DENBIGH BLVD STE 1020ANewport News, VA 23602-2017
Mailing Address3345 S Military HwyChesapeake, VA 23323-3522 · (757) 487-2564 · Fax (276) 800-8649
Phone(757) 875-2009
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 22, 2016
Last NPPES UpdateMay 14, 20256 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1225490022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in VA · 0101266606
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1000 OLD DENBIGH BLVD STE 1020A, Newport News, VA 23602
Open in Google Maps ↗

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. Hemal D 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 ID2668892415
PECOS Enrollment IDI20230628000276
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 nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
116 services33 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
82 services75 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
74 services50 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
28 services28 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
23 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23602 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier14 claims132 services$2.06 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$4.46 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier14 claims17 services$8.29 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims345 services$16.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

RACHEL NORUM NP
Nurse Practitioner (Adult Health)
1000 OLD DENBIGH BLVD STE 1020A
NEWPORT NEWS, VA 23602
Newport News City (757) 875-2009
DOREEN K BOATENG
Nurse Practitioner (Gerontology)
1000 OLD DENBIGH BLVD STE 1020A
NEWPORT NEWS, VA 23602
Newport News City (757) 875-2009
MRS. JENNIFER LYNN TUCKER NP
Nurse Practitioner (Family)
1000 OLD DENBIGH BLVD STE 1020A
NEWPORT NEWS, VA 23602
Newport News City (757) 875-2009
DR. KATHLEEN M MEEHAN MD
Family Medicine (Geriatric Medicine)
1000 OLD DENBIGH BLVD STE 1020A
NEWPORT NEWS, VA 23602
Newport News City (757) 875-2009
DR. GREGG ALLEN SHIVERS M.D.
Internal Medicine
1000 OLD DENBIGH BLVD STE 1020A, RIVERSIDE LIFELONG HEALTH & AGING SERVICES
NEWPORT NEWS, VA 23602
Newport News City (757) 875-2009
DR. SARAH EBBERS WEST MD
Internal Medicine (Hospice and Palliative Medicine)
1000 OLD DENBIGH BLVD STE 1020A
NEWPORT NEWS, VA 23602
Newport News City (757) 875-2009
DR. DENNIS M O'NEILL MD
Internal Medicine
1000 OLD DENBIGH BLVD STE 1020A
NEWPORT NEWS, VA 23602
Newport News City (757) 875-2009
SIGNEY CAMERON ZAVINSKY FNP-C
Nurse Practitioner (Family)
1000 OLD DENBIGH BLVD STE 1020A
NEWPORT NEWS, VA 23602
Newport News City (757) 875-2009

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 Hemal Patel's NPI number?

The NPI number for Hemal Patel is 1225490022. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Hemal Patel located?

Hemal Patel practices at 1000 Old Denbigh Blvd Ste 1020A, Newport News, VA 23602. The listed phone number is (757) 875-2009.

What is Hemal Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Hemal Patel enrolled in Medicare?

Yes. Hemal 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.

When was this NPI record last updated?

The NPPES record for Hemal Patel was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.