HARDI PATEL
NPI 1558972398
Nurse Practitioner - Primary Care in Dover, DE
About Hardi Patel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HARDI PATEL (NPI 1558972398) is an individual primary care provider in Dover, Delaware, licensed in Delaware (LG-0011464) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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
Hardi Patel 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 Reassignment
Medicare enrollment records show Hardi Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dover, DE 19904
- Reassigned Medicare billing, Delaware enrollment
- 6 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 19904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DOVER, DE 19904
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 Hardi Patel's NPI number?
The NPI number for Hardi Patel is 1558972398. It was assigned to this individual provider in the NPPES registry on August 14, 2020.
Where is Hardi Patel located?
Hardi Patel practices at 810 New Burton Rd Ste 3, Dover, DE 19904. The listed phone number is (302) 730-0554.
What is Hardi Patel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Hardi Patel enrolled in Medicare?
Yes. Hardi 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 organization bills Medicare for Hardi Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hardi Patel reassigns Medicare benefits to Delaware Primary Care LLC (Dover, DE). The 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 Hardi Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hardi Patel accept?
Health plans from AmeriHealth Caritas Next list Hardi 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.
When was this NPI record last updated?
The NPPES record for Hardi Patel was last updated on August 14, 2020. 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.
# Hardi Patel · NPI 1558972398
Primary Care physician in Dover, Delaware. Individual provider, active in the CMS NPPES registry since August 14, 2020.
## Identity
- **NPI:** 1558972398 (Entity type: Individual)
- **Enumerated:** August 14, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** LG-0011464 (Delaware)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 810 NEW BURTON RD STE 3, Dover, DE 19904-5488
- **Phone:** (302) 730-0554
## 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:** Delaware Primary Care LLC (NPI 1104852300, Dover, DE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 14, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1558972398) · Data from the CMS NPPES public registry.