MR. HIRAN PATEL M.D.
NPI 1265095251
Internal Medicine in Somerville, NJ

Active since April 16, 2019PECOS EnrolledAccepts Medicare Assignment
110 REHILL AVE, SOMERVILLE, NJ 08876(908) 685-2200 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2024, Apr 10, 2024, Apr 16, 2019 (3 updates tracked since 2019).

About Mr. Hiran Patel M.d. NPPES

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

MR. HIRAN PATEL M.D. (NPI 1265095251) is an individual internal medicine provider in Somerville, New Jersey, licensed in New Jersey (25MA11522300) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pittsburgh, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265095251
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. HIRAN PATELCredential: M.D.
Location Address110 REHILL AVESomerville, NJ 08876-2519
Mailing Address379 Campus Dr Fl 4Somerset, NJ 08873-1161
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 16, 2019
Last NPPES UpdateMay 9, 20243 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
NPI 1265095251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MA11522300
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

110 REHILL AVE, Somerville, NJ 08876

Secondary Practice Location 1

Location 11515 Locust St Floor 1st, Mercy ClinicPittsburgh, PA 15219 · Phone (412) 232-8411

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

Mr. Hiran 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 ID3779815113
PECOS Enrollment IDI20230111002033
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 2

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.

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.
338 services327 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.
169 services166 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08876 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 20

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

General Acute Care Hospital
110 REHILL AVE
SOMERVILLE, NJ 08876
Physician Assistant
110 REHILL AVE
SOMERVILLE, NJ 08876
Physical Therapist
110 REHILL AVE
SOMERVILLE, NJ 08876
Student in an Organized Health Care Education/Training Program
110 REHILL AVE
SOMERVILLE, NJ 08876
Peer Specialist
110 REHILL AVE
SOMERVILLE, NJ 08876
Peer Specialist
110 REHILL AVE
SOMERVILLE, NJ 08876
Emergency Medicine
110 REHILL AVE, SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
Peer Specialist
110 REHILL AVE
SOMERVILLE, NJ 08876

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 Hiran Patel's NPI number?

The NPI number for Hiran Patel is 1265095251. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Where is Hiran Patel located?

Hiran Patel practices at 110 Rehill Ave, Somerville, NJ 08876. The listed phone number is (908) 685-2200.

What is Hiran Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hiran Patel enrolled in Medicare?

Yes. Hiran 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 Hiran Patel was last updated on May 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.