HIRAL PATEL D.O.
NPI 1497166987
Hospitalist in Fresno, CA

Active since May 19, 2014PECOS EnrolledAccepts Medicare Assignment
85/100
CMS Quality Rating
2823 FRESNO ST, FRESNO, CA 93721(559) 459-4390 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2021, Jan 15, 2020, Jan 7, 2019 and 2 more (5 updates tracked since 2017).

About Hiral Patel D.o. NPPES

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

HIRAL PATEL D.O. (NPI 1497166987) is an individual hospitalist provider in Fresno, California, licensed in California (20A14766) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1497166987
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameHIRAL PATELCredential: D.O.
Location Address2823 FRESNO STFresno, CA 93721-1324
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 19, 2014
Last NPPES UpdateFebruary 2, 20215 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
NPI 1497166987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · 20A14766
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 20A14766 (CA)
2823 FRESNO ST, Fresno, CA 93721

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

Hiral Patel D.o. 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 ID4880932417
PECOS Enrollment IDI20190206002527
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

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 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.
43 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93721 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.33
Promoting Interoperability100
Improvement Activities40
Cost45.02

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.

Emergency Medicine
2823 FRESNO ST
FRESNO, CA 93721
Physician Assistant (Medical)
2823 FRESNO ST
FRESNO, CA 93721
Nurse Practitioner
2823 FRESNO ST
FRESNO, CA 93721
Physician Assistant (Medical)
2823 FRESNO ST
FRESNO, CA 93721
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2823 FRESNO ST
FRESNO, CA 93721
Nurse Practitioner
2823 FRESNO ST
FRESNO, CA 93721
Pediatrics
2823 FRESNO ST
FRESNO, CA 93721
Registered Nurse (General Practice)
2823 FRESNO ST
FRESNO, CA 93721

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 1497166987. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Hiral Patel located?

Hiral Patel practices at 2823 Fresno St, Fresno, CA 93721. The listed phone number is (559) 459-4390.

What is Hiral Patel's specialty?

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

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.

When was this NPI record last updated?

The NPPES record for Hiral Patel was last updated on February 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.