HAMIL PATEL MD
NPI 1437688652
Emergency Medicine in Wilkes Barre, PA

Active since June 09, 2017PECOS EnrolledAccepts Medicare Assignment
575 N RIVER ST, WILKES BARRE, PA 18764(570) 829-8111 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Apr 12, 2022, Jun 2, 2021 and 2 more (5 updates tracked since 2017).

About Hamil Patel Md NPPES

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

HAMIL PATEL MD (NPI 1437688652) is an individual emergency medicine provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD473520) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Hamilton, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1437688652
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameHAMIL PATELCredential: MD
Location Address575 N RIVER STWilkes Barre, PA 18764-0999
Mailing Address575 N River StWilkes Barre, PA 18764-0999 · (570) 829-8111
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2017
Enumeration DateJune 9, 2017
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1437688652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · MD473520✔ Licensed in NJ · 25MA11355700
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.
575 N RIVER ST, Wilkes Barre, PA 18764

Secondary Practice Locations 5

Location 15501 Old York RdPhiladelphia, PA 19141-3018 · Phone (215) 456-3834
Location 2700 Quincy AveScranton, PA 18510-1798 · Phone (570) 770-5000
Location 3746 Jefferson AveScranton, PA 18510-1624 · Phone (570) 770-3000
Location 41 Capital WayPennington, NJ 08534-2520 · Phone (609) 303-4010
Location 5750 Brunswick AveTrenton, NJ 08638-4143 · Phone (609) 394-6063

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

Hamil 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.

PECOS PAC ID1153730825
PECOS Enrollment IDI20220407000647
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

5

Medicare enrollment records show Hamil Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
575 N RIVER ST
Wilkes Barre, PA 18764
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 111 clinicians in this Medicare group
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
Emergency Medicine
224 HAMBURG TPKE
Wayne, NJ 07470
  • Reassigned Medicare billing, New Jersey enrollment
  • 138 clinicians in this Medicare group
Surgery
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 600 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 6

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
282 services276 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
153 services146 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
96 services93 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
42 services42 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.
16 services16 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18764 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Nurse Practitioner
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Practitioner (Family)
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Clinic/Center
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Emergency Medicine
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764

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 Hamil Patel's NPI number?

The NPI number for Hamil Patel is 1437688652. It was assigned to this individual provider in the NPPES registry on June 9, 2017.

Where is Hamil Patel located?

Hamil Patel practices at 575 N River St, Wilkes Barre, PA 18764. The listed phone number is (570) 829-8111.

What is Hamil Patel's specialty?

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

Is Hamil Patel enrolled in Medicare?

Yes. Hamil 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 Hamil Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hamil Patel reassigns Medicare benefits to 5 organizations: Pennsylvania Physician Services, LLC (Wilkes Barre, PA), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Rwjbh Observation Associates LLC (Livingston, NJ), Passaic River Physicians, LLC (Wayne, NJ) and Capital Health Multispecialty Group (Trenton, NJ). 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 Hamil Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Hamil Patel affiliated with any hospitals?

According to CMS data, Hamil Patel is affiliated with Robert Wood Johnson University Hospital At Hamilton.

When was this NPI record last updated?

The NPPES record for Hamil Patel was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.