HARDIK C PATEL M.D
NPI 1376812941
Hospitalist in Summit, WI

Q: What is Hardik Patel's NPI number?

The NPI number for Hardik Patel is 1376812941. It was assigned to this individual provider in the NPPES registry on December 27, 2011.

Q: What is Hardik Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Hardik Patel was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 27, 2011PECOS EnrolledAccepts Medicare Assignment

36500 AURORA DR, SUMMIT, WI 53066(414) 328-7146 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 29, 2021, Jan 16, 2020, Oct 16, 2019 (3 updates tracked since 2019).

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About Hardik C Patel M.d NPPES

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

HARDIK C PATEL M.D (NPI 1376812941) is an individual hospitalist provider in Summit, Wisconsin, licensed in Wisconsin (56943-20) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with Aurora Memorial Hospital Burlington, and maintains a secondary practice location in West Allis.

NPPES Registry Identity

NPI1376812941

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameHARDIK C PATELCredential: M.D

Location Address36500 AURORA DRSummit, WI 53066-4899

Mailing AddressPo Box 735044Chicago, IL 60673-5044

Phone(414) 328-7146

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateDecember 27, 2011

Last NPPES UpdateMarch 19, 20243 updates tracked since enumeration

NPPES CertifiedMarch 19, 2024

✔ NPI 1376812941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in WI · 56943-20

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 56943-20 (WI)

36500 AURORA DR, Summit, WI 53066

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Secondary Practice Location 1

Location 18901 W Lincoln AveWest Allis, WI 53227-2409 · Phone (773) 484-7707

Other Identifiers 1

Medicaid100023372WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

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

Hardik C 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 ID7113182908

PECOS Enrollment IDI20120628000547

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 4

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.

364 services134 patients

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.

100 services99 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

94 services91 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

53 services47 patients

Hospital Affiliations CMS Care Compare 5

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

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520059

Location252 Mchenry StBurlington, WI 53105 · Racine County

Emergency services

Aurora Lakeland Medical Center

Acute Care Hospitals · Elkhorn, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520102

LocationW3985 County Road NnElkhorn, WI 53121 · Walworth County

Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520139

Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County

Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520207

Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53066 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers13 claims13 services$14.15 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$64.66 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 20

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

BIJAN NEZAMI

Internal Medicine (Critical Care Medicine)

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

KEVIN L EGGLESTON M.D.

Hospitalist

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-4711

KODY LEWIS PA C

Physician Assistant

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

REBECCA M STRIET M.D.

Preventive Medicine (Undersea and Hyperbaric Medicine)

36500 AURORA DR, DEPARTMENT OF WOUND CARE/HYPERBARIC MEDICINE 3RD FLOOR
SUMMIT, WI 53066

Waukesha County (262) 434-5000

REBECCA SUSA DPT, ATC-L

Physical Therapist

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-2600

VIJAY JOHNSON M.D

Internal Medicine (Critical Care Medicine)

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

MRS. KELLY S CAMPBELL ANP-BC

Nurse Practitioner

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

DR. BRETT MCLACHLAN M.D.

Emergency Medicine

36500 AURORA DR
SUMMIT, WI 53066

Waukesha County (262) 434-1000

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 Hardik Patel's NPI number?

The NPI number for Hardik Patel is 1376812941. It was assigned to this individual provider in the NPPES registry on December 27, 2011.

Where is Hardik Patel located?

Hardik Patel practices at 36500 Aurora Dr, Summit, WI 53066. The listed phone number is (414) 328-7146.

What is Hardik Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Hardik Patel enrolled in Medicare?

Yes. Hardik 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.

What insurance does Hardik Patel accept?

Health plans from CareSource (Common Ground Healthcare) list Hardik 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 Hardik Patel affiliated with any hospitals?

According to CMS data, Hardik Patel is affiliated with Aurora Memorial Hospital Burlington, Aurora Lakeland Medical Center, Aurora St Lukes Medical Center, West Allis Memorial Hospital and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Hardik Patel was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.