HETAL SHETH RPA-C
NPI 1265742175
Physician Assistant - Medical in New Hyde Park, NY

Active since October 13, 2010PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
27005 76TH AVE, NEW HYDE PARK, NY 11040(718) 470-7000 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2024, Mar 2, 2017 (2 updates tracked since 2017).

About Hetal Sheth Rpa-c NPPES

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

HETAL SHETH RPA-C (NPI 1265742175) is an individual medical provider in New Hyde Park, New York, licensed in New York (014267) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2010).

NPPES Registry Identity

NPI1265742175
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameHETAL SHETHCredential: RPA-C
Location Address27005 76TH AVENew Hyde Park, NY 11040-1402
Mailing Address27005 76th AveNew Hyde Park, NY 11040-1402
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2010
Enumeration DateOctober 13, 2010
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
NPI 1265742175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 014267
27005 76TH AVE, New Hyde Park, NY 11040

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

Hetal Sheth Rpa-c 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 ID3173809142
PECOS Enrollment IDI20170406001995
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.

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.
181 services40 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Family Medicine
27005 76TH AVE, DEPARTMENT OF PEDIATRICS
NEW HYDE PARK, NY 11040
Internal Medicine
27005 76TH AVE
NEW HYDE PARK, NY 11040
General Acute Care Hospital
27005 76TH AVE, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040
Emergency Medicine
27005 76TH AVE, DEPARMENT OF EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040
Radiology (Diagnostic Radiology)
27005 76TH AVE, SUITE C204
NEW HYDE PARK, NY 11040
Nurse Practitioner (Women's Health)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nurse Anesthetist, Certified Registered
27005 76TH AVE
NEW HYDE PARK, NY 11040
Physician Assistant (Medical)
27005 76TH AVE
NEW HYDE PARK, NY 11040

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 Hetal Sheth's NPI number?

The NPI number for Hetal Sheth is 1265742175. It was assigned to this individual provider in the NPPES registry on October 13, 2010.

Where is Hetal Sheth located?

Hetal Sheth practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-7000.

What is Hetal Sheth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Hetal Sheth enrolled in Medicare?

Yes. Hetal Sheth 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 Hetal Sheth affiliated with any hospitals?

According to CMS data, Hetal Sheth is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Hetal Sheth was last updated on October 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.