HIREN PATEL M,D.
NPI 1437438561
Emergency Medicine in Salem, MA

Active since August 07, 2011PECOS Enrolled
81 HIGHLAND AVE, SALEM, MA 01970(978) 741-1200 Get Directions Write a Review

NPPES record last updated: October 30, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 30, 2018, Oct 25, 2018 (2 updates tracked since 2018).

About Hiren Patel M,d. NPPES

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

HIREN PATEL M,D. (NPI 1437438561) is an individual emergency medicine provider in Salem, Massachusetts, licensed in Georgia (5361) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1437438561
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameHIREN PATELCredential: M,D.
Location Address81 HIGHLAND AVESalem, MA 01970-2714
Mailing Address121 Beach St Unit 303Boston, MA 02111-2501 · (410) 382-7340
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 7, 2011
Last NPPES UpdateOctober 30, 20182 updates tracked since enumeration
✔ NPI 1437438561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 5361
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
81 HIGHLAND AVE, Salem, MA 01970

Secondary Practice Locations 3

Location 155 Fruit StBoston, MA 02114-2696 · Phone (617) 724-4100
Location 2531 Asbury Cir, Suite N340Atlanta, GA 30322-1006 · Phone (404) 778-5975
Location 3500 Lynnfield StLynn, MA 01904-1424 · Phone (781) 581-9200

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hiren Patel M,d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850601329
PECOS Enrollment IDI20151112002205
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Hiren Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
776 WESTERN AVE
Lynn, MA 01905
  • Reassigned Medicare billing, Massachusetts enrollment
  • 11 clinicians in this Medicare group
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01970 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Radiology (Diagnostic Radiology)
81 HIGHLAND AVE
SALEM, MA 01970
Internal Medicine
81 HIGHLAND AVE, DEPT OF MEDICINE ( HOSPITALIST)
SALEM, MA 01970
Registered Nurse
81 HIGHLAND AVE
SALEM, MA 01970
Physician Assistant
81 HIGHLAND AVE
SALEM, MA 01970
Anesthesiology
81 HIGHLAND AVE, DEPT. ANESTHESIA,
SALEM, MA 01970
Pathology (Anatomic Pathology)
81 HIGHLAND AVE, PATHOLOGY DEPARTMENT
SALEM, MA 01970
Nurse Practitioner (Family)
81 HIGHLAND AVE
SALEM, MA 01970
Internal Medicine
81 HIGHLAND AVE
SALEM, MA 01970

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 Hiren Patel's NPI number?

The NPI number for Hiren Patel is 1437438561. It was assigned to this individual provider in the NPPES registry on August 7, 2011.

Where is Hiren Patel located?

Hiren Patel practices at 81 Highland Ave, Salem, MA 01970. The listed phone number is (978) 741-1200.

What is Hiren Patel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Hiren Patel enrolled in Medicare?

Yes. Hiren Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Hiren Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hiren Patel reassigns Medicare benefits to 3 organizations: Lynn Urgent Care LLC (Lynn, MA), Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (Boston, MA). 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 Hiren Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hiren Patel accept?

Health plans from Taro Health list Hiren 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.

When was this NPI record last updated?

The NPPES record for Hiren Patel was last updated on October 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.