HEMAL PATEL DO
NPI 1245626522
Internal Medicine in Hackensack, NJ
About Hemal Patel Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEMAL PATEL DO (NPI 1245626522) is an individual internal medicine provider in Hackensack, New Jersey, licensed in New Jersey (25MB10933500) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
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
Hemal Patel Do 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
17Medicare enrollment records show Hemal Patel reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hackensack, NJ 07601
- Reassigned Medicare billing, New Jersey enrollment
- 2 clinicians in this Medicare group
White Plains, NY 10601
- Reassigned Medicare billing, New York enrollment
- 479 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Cortlandt Manor, NY 10567
- Reassigned Medicare billing, New York enrollment
- 307 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 689 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Poughkeepsie, NY 12601
- Reassigned Medicare billing, New York enrollment
- 304 clinicians in this Medicare group
Somers Point, NJ 08244
- Reassigned Medicare billing, New Jersey enrollment
- 46 clinicians in this Medicare group
Newark, DE 19713
- Reassigned Medicare billing, Delaware enrollment
- 460 clinicians in this Medicare group
Dover, DE 19901
- Reassigned Medicare billing, Delaware enrollment
- 166 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 6
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hackensack University Medical Center
Acute Care Hospitals · Hackensack, NJValley Hospital
Acute Care Hospitals · Paramus, NJPhelps Hospital
Acute Care Hospitals · Sleepy Hollow, NYHudson Valley Hospital Center
Acute Care Hospitals · Cortlandt Manor, NYWhite Plains Hospital Center
Acute Care Hospitals · White Plains, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1245626522. It was assigned to this individual provider in the NPPES registry on April 13, 2015.
Where is Hemal Patel located?
Hemal Patel practices at 100 River St Apt 246, Hackensack, NJ 07601. The listed phone number is (631) 372-1312.
What is Hemal Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
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.
Which organizations bill Medicare for Hemal Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hemal Patel reassigns Medicare benefits to 17 organizations: Droncall Medical Group Nj LLC (Hackensack, NJ), East Post Road Medical Services PC (White Plains, NY), North Shore-Lij Medical PC (Great Neck, NY), The Westchester Medical Practice, PC (Cortlandt Manor, NY), Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ) and 12 more organizations, listed in the Medicare section above. 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 Hemal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hemal Patel accept?
Health plans from CareSource (Common Ground Healthcare), Oscar Health and Oscar Insurance Company list Hemal 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 Hemal Patel affiliated with any hospitals?
According to CMS data, Hemal Patel is affiliated with Hackensack University Medical Center, Valley Hospital, Phelps Hospital, Hudson Valley Hospital Center and White Plains Hospital Center.
When was this NPI record last updated?
The NPPES record for Hemal Patel was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Hemal Patel, DO · NPI 1245626522
Internal Medicine physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since April 13, 2015.
## Identity
- **NPI:** 1245626522 (Entity type: Individual)
- **Enumerated:** April 13, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MB10933500 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 RIVER ST APT 246, Hackensack, NJ 07601-7451
- **Phone:** (631) 372-1312 · **Fax:** (307) 204-7969
## 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:** 17 organizations under Medicare reassignment (form CMS-855R): Droncall Medical Group Nj LLC (NPI 1215814082, Hackensack, NJ); East Post Road Medical Services PC (NPI 1841767274, White Plains, NY); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); The Westchester Medical Practice, PC (NPI 1982109120, Cortlandt Manor, NY); Hackensack Meridian Health Medical Group - Primary Care PC (NPI 1336203538, Red Bank, NJ); and 12 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Touro Un Col Of Osteopathic Medicine, New York, class of 2015
## Record status
- **NPPES last updated:** October 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245626522) · Data from the CMS NPPES public registry.