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HETAL B PATEL M.D.
NPI 1447221767
Emergency Medicine in San Diego, CA

Active since January 27, 2006PECOS Enrolled
12526 HIGH BLUFF DR STE 300, SAN DIEGO, CA 92130(760) 655-3902 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2024, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Hetal B Patel M.d. NPPES

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

HETAL B PATEL M.D. (NPI 1447221767) is an individual emergency medicine provider in San Diego, California, licensed in Illinois (036125902) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447221767
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameHETAL B PATELCredential: M.D.
Location Address12526 HIGH BLUFF DR STE 300San Diego, CA 92130-2067
Mailing Address12526 High Bluff Dr Ste 300San Diego, CA 92130-2067 · (760) 655-3902
Phone(760) 655-3902
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJanuary 5, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
✔ NPI 1447221767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036125902✔ Licensed in CA · A130735
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.
12526 HIGH BLUFF DR STE 300, San Diego, CA 92130
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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

Emergency Medicine Group Of Encinitas, Inc
6.8 mi
Emergency Medicine
354 SANTA FE DR
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 47 clinicians in this Medicare group
NPI 1902805179 (760) 753-1362
Advanced Joint And Spine Medical Center Inc.
69 mi
Pain Medicine
2029 W ORANGEWOOD AVE STE A
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 19 clinicians in this Medicare group
NPI 1962930628 (714) 921-1546
Superior Joint And Spine Medical Center Inc.
73 mi
Pain Medicine
5455 GARDEN GROVE BLVD STE 100
Westminster, CA 92683
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
NPI 1679093728 (866) 303-9355

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 92130 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 12

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

HOMEWELL CA282
Home Health
12526 HIGH BLUFF DR STE 300
SAN DIEGO, CA 92130
San Diego County (858) 449-0071
BETH CORRICK MFT
Marriage & Family Therapist
12526 HIGH BLUFF DR STE 300
SAN DIEGO, CA 92130
San Diego County (858) 699-1497
ANISSA BELL MARRIAGE & FAMILY THERAPY, PROFESSIONAL CORPORATION
Counselor (Mental Health)
12526 HIGH BLUFF DR STE 300
SAN DIEGO, CA 92130
San Diego County (858) 400-4646
PATRICIA BERRY RD,LD,CDE
Dietitian, Registered
12526 HIGH BLUFF DR STE 300
SAN DIEGO, CA 92130
San Diego County (512) 375-3210
AMY TRENDEL RD
Dietitian, Registered
12526 HIGH BLUFF DR STE 300
SAN DIEGO, CA 92130
San Diego County (512) 375-3210
COLETTE M. COINER PT
Physical Therapist (Orthopedic)
12526 HIGH BLUFF DR STE 300
SAN DIEGO, CA 92130
San Diego County (888) 713-2220
MOBILEONEDOCS LLC
Nurse Practitioner (Family)
12526 HIGH BLUFF DR STE 300
SAN DIEGO, CA 92130
San Diego County (888) 709-8721
DR. DAPHNE LURIE PHD
Psychologist (Clinical)
12526 HIGH BLUFF DR STE 300
SAN DIEGO, CA 92130
San Diego County (858) 925-9028

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 Patel's NPI number?

The NPI number for Hetal Patel is 1447221767. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Hetal Patel located?

Hetal Patel practices at 12526 High Bluff Dr Ste 300, San Diego, CA 92130. The listed phone number is (760) 655-3902.

What is Hetal Patel's specialty?

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

Is Hetal Patel enrolled in Medicare?

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

Which organizations bill Medicare for Hetal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hetal Patel reassigns Medicare benefits to 3 organizations: Emergency Medicine Group Of Encinitas, Inc (Encinitas, CA), Advanced Joint And Spine Medical Center Inc. (Orange, CA) and Superior Joint And Spine Medical Center Inc. (Westminster, CA). 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 Hetal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hetal Patel was last updated on January 5, 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.