DR. HIMANI PATEL
NPI 1619437563
Internal Medicine in South Weymouth, MA

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
82.78/100
CMS Quality Rating
55 FOGG RD, SOUTH WEYMOUTH, MA 02190(781) 624-8000 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Himani Patel NPPES

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

DR. HIMANI PATEL (NPI 1619437563) is an individual internal medicine provider in South Weymouth, Massachusetts, licensed in Massachusetts (294939) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and maintains a secondary practice location in Port Jefferson.

NPPES Registry Identity

NPI1619437563
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. HIMANI PATEL
Location Address55 FOGG RDSouth Weymouth, MA 02190-2432
Mailing Address55 Fogg RdSouth Weymouth, MA 02190-2432 · (781) 624-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 25, 2019
Last NPPES UpdateSeptember 13, 2022
NPPES CertifiedJune 24, 2022
NPI 1619437563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 294939
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
55 FOGG RD, South Weymouth, MA 02190

Secondary Practice Location 1

Location 175 N Country RdPort Jefferson, NY 11777-2119 · Phone (631) 686-1443 · Fax (631) 686-7651

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

Dr. Himani 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.

PECOS PAC ID5698002814
PECOS Enrollment IDI20221018002487
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
593 services240 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
329 services142 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
231 services229 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
45 services45 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
35 services31 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services12 patients

Hospital Affiliations CMS Care Compare

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02190 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
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.

82.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Promoting Interoperability70
Improvement Activities40
Cost69.53

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.

Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Radiology (Diagnostic Radiology)
55 FOGG RD
WEYMOUTH, MA 02190
Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Dietitian, Registered
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Nurse Practitioner (Psychiatric/Mental Health)
55 FOGG RD
WEYMOUTH, MA 02190
Pediatrics
55 FOGG RD
S WEYMOUTH, MA 02190
Social Worker (Clinical)
55 FOGG RD
WEYMOUTH, MA 02190
Student in an Organized Health Care Education/Training Program
55 FOGG RD
SOUTH WEYMOUTH, MA 02190

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 Himani Patel's NPI number?

The NPI number for Himani Patel is 1619437563. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Himani Patel located?

Himani Patel practices at 55 Fogg Rd, South Weymouth, MA 02190. The listed phone number is (781) 624-8000.

What is Himani Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Himani Patel enrolled in Medicare?

Yes. Himani 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.

Is Himani Patel affiliated with any hospitals?

According to CMS data, Himani Patel is affiliated with South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Himani Patel was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.