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HIREN K MAKWANA D.P.M.
NPI 1538454756
Podiatrist in Lambertville, NJ

Active since June 15, 2011PECOS Enrolled
0/100
CMS Quality Rating
41 BRIDGE ST, LAMBERTVILLE, NJ 08530(609) 397-0631(609) 460-4865 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Hiren K Makwana D.p.m. NPPES

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

HIREN K MAKWANA D.P.M. (NPI 1538454756) is an individual podiatrist in Lambertville, New Jersey, licensed in New Jersey (25MD00319400) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and is a graduate of New York College Of Podiatric Medicine (2011).

NPPES Registry Identity

NPI1538454756
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameHIREN K MAKWANACredential: D.P.M.
Location Address41 BRIDGE STLambertville, NJ 08530-2115
Mailing Address41 Bridge StLambertville, NJ 08530-2115 · (609) 397-0631 · Fax (609) 460-4865
Phone(609) 397-0631
Fax(609) 460-4865
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2011
Enumeration DateJune 15, 2011
Last NPPES UpdateApril 7, 2016
✔ NPI 1538454756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NJ · 25MD00319400
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
41 BRIDGE ST, Lambertville, NJ 08530
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Other Identifiers 2

Medicare PIN334076QHJNJ
Medicaid0428787NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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 K Makwana D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951531250
PECOS Enrollment IDI20140306001500
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

2

Medicare enrollment records show Hiren Makwana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

J M Podiatry Associates PC
11 mi
Foot & Ankle Surgery
1076 PARKWAY AVE
Ewing, NJ 08628
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Jm Podiatry Associates PC
  • 17 clinicians in this Medicare group
NPI 1396123394 (609) 771-4222
Foot N Ankle Centers PC
11 mi
Foot & Ankle Surgery
5 WALTER E FORAN BLVD STE 2001
Flemington, NJ 08822
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1598645681 (908) 788-1848

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 10

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
633 services170 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
468 services117 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
394 services184 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
203 services58 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
142 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
64 services64 patients

Hospital Affiliations CMS Care Compare

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

Hunterdon Medical Center

Acute Care Hospitals · Flemington, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310005
Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08530 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers19 claims38 services$61.42 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
2 suppliers17 claims102 services$25.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

J M PODIATRY ASSOCIATES PC
Podiatrist (Foot & Ankle Surgery)
41 BRIDGE ST
LAMBERTVILLE, NJ 08530
Hunterdon County (609) 883-1605
DR. DIPAN PATEL D.P.M
Podiatrist (Foot & Ankle Surgery)
41 BRIDGE ST
LAMBERTVILLE, NJ 08530
Hunterdon County (609) 397-0691
NEW JERSEY PODIATRIC PHYSICIANS & SURGEONS GROUP, LLC
Podiatrist
41 BRIDGE ST
LAMBERTVILLE, NJ 08530
Hunterdon County (609) 883-1605

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 Makwana's NPI number?

The NPI number for Hiren Makwana is 1538454756. It was assigned to this individual provider in the NPPES registry on June 15, 2011.

Where is Hiren Makwana located?

Hiren Makwana practices at 41 Bridge St, Lambertville, NJ 08530. The listed phone number is (609) 397-0631.

What is Hiren Makwana's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Hiren Makwana enrolled in Medicare?

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

Which organizations bill Medicare for Hiren Makwana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hiren Makwana reassigns Medicare benefits to 2 organizations: J M Podiatry Associates PC (Ewing, NJ) and Foot N Ankle Centers PC (Flemington, 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 Hiren Makwana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hiren Makwana accept?

Health plans from Oscar Health list Hiren Makwana 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.

Is Hiren Makwana affiliated with any hospitals?

According to CMS data, Hiren Makwana is affiliated with Hunterdon Medical Center.

When was this NPI record last updated?

The NPPES record for Hiren Makwana was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.