HIRENKUMAR P PATEL
NPI 1689847428
Internal Medicine - Rheumatology in Marshall, MI

Active since April 11, 2008PECOS EnrolledAccepts Medicare Assignment
92.05/100
CMS Quality Rating
215 E MANSION ST STE 1E, MARSHALL, MI 49068(269) 781-3938 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 10, 2022, Oct 21, 2021, Jul 7, 2021 and 1 more (4 updates tracked since 2017).

About Hirenkumar P Patel NPPES

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

HIRENKUMAR P PATEL (NPI 1689847428) is an individual rheumatology provider in Marshall, Michigan, licensed in Indiana (01071720A) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Promedica Coldwater Regional Hospital, and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1689847428
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameHIRENKUMAR P PATEL
Location Address215 E MANSION ST STE 1EMarshall, MI 49068-1167
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 11, 2008
Last NPPES UpdateJune 10, 20224 updates tracked since enumeration
NPPES CertifiedJune 10, 2022
NPI 1689847428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in IN · 01071720A
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME109622 (FL)
215 E MANSION ST STE 1E, Marshall, MI 49068

Secondary Practice Location 1

Location 111143 Parkview Plaza Dr Ste 200Fort Wayne, IN 46845-1728 · Phone (260) 266-8820 · Fax (260) 266-8829

Other Identifiers 3

OtherP00982103FL · Rrmedicare
Other14E8SFL · Bcbs
Other000000792408IN · Anthem

Accepted 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

Hirenkumar P 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 ID6507042215
PECOS Enrollment IDI20210922000456
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 5

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 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.
239 services102 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.
116 services45 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.
91 services70 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 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.
30 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Promedica Coldwater Regional Hospital

Acute Care Hospitals · Coldwater, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230022
Location274 E Chicago StColdwater, MI 49036 · Branch County
Emergency services Birthing friendly

Hillsdale Hospital

Acute Care Hospitals · Hillsdale, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230037
Location168 S Howell StreetHillsdale, MI 49242 · Hillsdale County
Emergency services Birthing friendly

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230117
Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County
Emergency services Birthing friendly

Oaklawn Hospital

Acute Care Hospitals · Marshall, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230217
Location200 N MadisonMarshall, MI 49068 · Calhoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49068 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

92.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.19
Promoting Interoperability97
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Family Medicine
215 E MANSION ST STE 1E
MARSHALL, MI 49068
Registered Nurse (Case Management)
215 E MANSION ST STE 1E
MARSHALL, MI 49068
Family Medicine
215 E MANSION ST STE 1E
MARSHALL, MI 49068
Nurse Practitioner
215 E MANSION ST STE 1E
MARSHALL, MI 49068
Family Medicine
215 E MANSION ST STE 1E
MARSHALL, MI 49068
Family Medicine
215 E MANSION ST STE 1E
MARSHALL, MI 49068
Family Medicine
215 E MANSION ST STE 1E
MARSHALL, MI 49068
Family Medicine
215 E MANSION ST STE 1E
MARSHALL, MI 49068

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 Hirenkumar Patel's NPI number?

The NPI number for Hirenkumar Patel is 1689847428. It was assigned to this individual provider in the NPPES registry on April 11, 2008.

Where is Hirenkumar Patel located?

Hirenkumar Patel practices at 215 E Mansion St Ste 1E, Marshall, MI 49068. The listed phone number is (269) 781-3938.

What is Hirenkumar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Hirenkumar Patel enrolled in Medicare?

Yes. Hirenkumar 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 Hirenkumar Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Hirenkumar 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 Hirenkumar Patel affiliated with any hospitals?

According to CMS data, Hirenkumar Patel is affiliated with Promedica Coldwater Regional Hospital, Hillsdale Hospital, Bronson Battle Creek Hospital, Borgess Medical Center and Oaklawn Hospital.

When was this NPI record last updated?

The NPPES record for Hirenkumar Patel was last updated on June 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.