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MRS. HETAL PATEL PA-C
NPI 1558616219
Physician Assistant - Surgical in Marietta, GA

Active since July 18, 2012PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
61 WHITCHER ST NE STE 4100B, MARIETTA, GA 30060(770) 590-4180 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2019, Sep 13, 2016, Sep 2, 2016 (3 updates tracked since 2016).

About Mrs. Hetal Patel Pa-c NPPES

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

MRS. HETAL PATEL PA-C (NPI 1558616219) is an individual surgical provider in Marietta, Georgia, licensed in Georgia (008054) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1558616219
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. HETAL PATELCredential: PA-C
Location Address61 WHITCHER ST NE STE 4100BMarietta, GA 30060
Mailing Address61 Whitcher St Ne Ste 4100bMarietta, GA 30060-1176 · (770) 590-4180
Phone(770) 590-4180
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 18, 2012
Last NPPES UpdateNovember 6, 20193 updates tracked since enumeration
✔ NPI 1558616219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 008054
Also ListedPhysician AssistantTaxonomy 363A00000X · License MA057382 (PA)
61 WHITCHER ST NE STE 4100B, Marietta, GA 30060
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Other Names 1

Former Name (1)Hetal Sharma Pa-c

Secondary Practice Location 1

Location 155 Whitcher Street, Suite 350Marietta, GA 30060 · Phone (770) 424-6893

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Mrs. Hetal Patel Pa-c 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 ID6204085772
PECOS Enrollment IDI20160823001301
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 3

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.

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.
207 services188 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services79 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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 1558616219. It was assigned to this individual provider in the NPPES registry on July 18, 2012. The provider is also known as Hetal Sharma Pa-C.

Where is Hetal Patel located?

Hetal Patel practices at 61 Whitcher St NE Ste 4100B, Marietta, GA 30060. The listed phone number is (770) 590-4180.

What is Hetal Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Hetal Patel enrolled in Medicare?

Yes. Hetal 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.

What insurance does Hetal Patel accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Hetal Patel 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 Hetal Patel affiliated with any hospitals?

According to CMS data, Hetal Patel is affiliated with Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Hetal Patel was last updated on November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.