HINAL PATEL DPM
NPI 1568996544
Podiatrist in Dover, DE
About Hinal Patel Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HINAL PATEL DPM (NPI 1568996544) is an individual podiatrist in Dover, Delaware, licensed in Delaware (E1-0010263) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vineland, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Hinal Patel Dpm 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
4Medicare enrollment records show Hinal Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, DE 19805
- Reassigned Medicare billing, Delaware enrollment
- 2 clinicians in this Medicare group
Wilmington, DE 19810
- Reassigned Medicare billing, Delaware enrollment
- Medicare enrollment name: Tri-State Foot And Ankle Center, LLC
- 4 clinicians in this Medicare group
Brooklyn, NY 11211
- Reassigned Medicare billing, New Jersey enrollment
- 30 clinicians in this Medicare group
Brooklyn, NY 11211
- Reassigned Medicare billing, Pennsylvania enrollment
- 22 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 4
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 19901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Hinal Patel's NPI number?
The NPI number for Hinal Patel is 1568996544. It was assigned to this individual provider in the NPPES registry on April 17, 2017.
Where is Hinal Patel located?
Hinal Patel practices at 18 Old Rudnick Ln, Dover, DE 19901. The listed phone number is (302) 674-9255.
What is Hinal Patel's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Hinal Patel enrolled in Medicare?
Yes. Hinal 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 Hinal Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hinal Patel reassigns Medicare benefits to 4 organizations: Pedirite Medical De LLC (Wilmington, DE), Tristate Foot And Ankle Center, LLC (Wilmington, DE), Pedirite Medical Nj LLC (Brooklyn, NY) and Pedirite Medical PA PLLC (Brooklyn, NY). 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 Hinal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hinal Patel accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Hinal 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 Hinal Patel was last updated on August 11, 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.
# Hinal Patel, DPM · NPI 1568996544
Podiatrist provider in Dover, Delaware. Individual provider, active in the CMS NPPES registry since April 17, 2017.
## Identity
- **NPI:** 1568996544 (Entity type: Individual)
- **Enumerated:** April 17, 2017
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **State license:** E1-0010263 (Delaware)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 18 OLD RUDNICK LN, Dover, DE 19901-4912
- **Phone:** (302) 674-9255
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Pedirite Medical De LLC (NPI 1538800099, Wilmington, DE); Tristate Foot And Ankle Center, LLC (NPI 1548345929, Wilmington, DE); Pedirite Medical Nj LLC (NPI 1942850250, Brooklyn, NY); Pedirite Medical PA PLLC (NPI 1922658236, Brooklyn, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 11, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1568996544) · Data from the CMS NPPES public registry.