HIRAL K PATEL MD
NPI 1285888016
Surgery in Falls Church, VA
About Hiral K Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HIRAL K PATEL MD (NPI 1285888016) is an individual surgery provider in Falls Church, Virginia, licensed in Virginia (0101255030) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and maintains 7 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 7
Other Identifiers 2
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
Hiral K 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
2Medicare enrollment records show Hiral Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Falls Church, VA 22042
- Reassigned Medicare billing, District of Columbia enrollment
- 2,618 clinicians in this Medicare group
Vienna, VA 22182
- Reassigned Medicare billing, District of Columbia enrollment
- 5 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 9
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.
Inova Alexandria Hospital
Acute Care Hospitals · Alexandria, VAInova Fairfax Hospital
Acute Care Hospitals · Falls Church, VAInova Fair Oaks Hospital
Acute Care Hospitals · Fairfax, VAInova Mount Vernon Hospital
Acute Care Hospitals · Alexandria, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
FALLS CHURCH, VA 22042
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 Hiral Patel's NPI number?
The NPI number for Hiral Patel is 1285888016. It was assigned to this individual provider in the NPPES registry on November 6, 2008.
Where is Hiral Patel located?
Hiral Patel practices at 3300 Gallows Rd, Falls Church, VA 22042. The listed phone number is (703) 776-4001.
What is Hiral Patel's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Hiral Patel enrolled in Medicare?
Yes. Hiral 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 Hiral Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hiral Patel reassigns Medicare benefits to 2 organizations: Inova Health Care Services (Falls Church, VA) and Surgical Consultants Of Northern Virginia PLLC (Vienna, VA). 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 Hiral Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hiral Patel accept?
Health plans from Oscar Health list Hiral 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 Hiral Patel affiliated with any hospitals?
According to CMS data, Hiral Patel is affiliated with Inova Alexandria Hospital, Inova Fairfax Hospital, Inova Fair Oaks Hospital and Inova Mount Vernon Hospital.
When was this NPI record last updated?
The NPPES record for Hiral Patel was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Hiral K Patel, MD · NPI 1285888016
Surgery physician in Falls Church, Virginia. Individual provider, active in the CMS NPPES registry since November 6, 2008.
## Identity
- **NPI:** 1285888016 (Entity type: Individual)
- **Enumerated:** November 6, 2008
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 0101255030 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3300 GALLOWS RD, Falls Church, VA 22042-3307
- **Phone:** (703) 776-4001 · **Fax:** (703) 776-7113
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Inova Health Care Services (NPI 1952320061, Falls Church, VA); Surgical Consultants Of Northern Virginia PLLC (NPI 1275938136, Vienna, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** September 1, 2021
- **Other identifiers:** Medicaid 1285888016 (VA); Medicaid 687008200 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1285888016) · Data from the CMS NPPES public registry.