HIRAL PATEL D.O.
NPI 1497166987
Hospitalist in Fresno, CA
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Hiral Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fresno, CA 93721
- Reassigned Medicare billing, California enrollment
- 320 clinicians in this Medicare group
Fresno, CA 93721
- Reassigned Medicare billing, California enrollment
- 295 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
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.
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.
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.
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.
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.
Which organizations bill Medicare for Hiral Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hiral Patel reassigns Medicare benefits to 2 organizations: University Faculty Associates, Inc. (Fresno, CA) and Central California Faculty Medical Group, Inc. (Fresno, 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 Hiral 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 Hiral Patel was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Hiral Patel, D.O. · NPI 1497166987
Hospitalist physician in Fresno, California. Individual provider, active in the CMS NPPES registry since May 19, 2014.
## Identity
- **NPI:** 1497166987 (Entity type: Individual)
- **Enumerated:** May 19, 2014
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 20A14766 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2823 FRESNO ST, Fresno, CA 93721-1324
- **Phone:** (559) 459-4390
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Faculty Associates, Inc. (NPI 1235537283, Fresno, CA); Central California Faculty Medical Group, Inc. (NPI 1457603573, Fresno, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** February 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1497166987) · Data from the CMS NPPES public registry.