HETAIN PATEL DO
NPI 1710227954
Internal Medicine - Cardiovascular Disease in Keene, NH

Active since February 25, 2013PECOS EnrolledAccepts Medicare Assignment
90.48/100
CMS Quality Rating

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Mar 17, 2025, Mar 5, 2025 and 3 more (6 updates tracked since 2019).

About Hetain Patel Do NPPES

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

HETAIN PATEL DO (NPI 1710227954) is an individual cardiovascular disease provider in Keene, New Hampshire, licensed in New Hampshire (24975) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1710227954
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameHETAIN PATELCredential: DO
Location Address580 COURT STKeene, NH 03431-1718
Mailing AddressPo Box 810Hanover, NH 03755-0810 · (603) 308-1467
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 25, 2013
Last NPPES UpdateMay 28, 20266 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1710227954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in NH · 24975 Licensed in NH · EL12711 Licensed in FL · OS12979
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
580 COURT ST, Keene, NH 03431

Secondary Practice Locations 4

Location 1253 Pleasant StConcord, NH 03301-7560 · Phone (603) 226-2200
Location 21350 Hickory StMelbourne, FL 32901-3224 · Phone (321) 312-3494
Location 32300 Southwood DrNashua, NH 03063-1899 · Phone (603) 577-4000
Location 41027 SE Ocean BlvdStuart, FL 34996-2576 · Phone (772) 781-0222 · Fax (772) 781-3000

Other Identifiers 2

OtherUQ693FL · Medicare Hf
Medicaid125906600FL

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

Hetain Patel Do 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 ID2365735602
PECOS Enrollment IDI20190906002410, I20230725001124
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 14

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
420 services405 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.
369 services165 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
221 services197 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
43 services40 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
40 services37 patients
Ultrasound of heart blood flow, valves and chambers, follow-up 93321
This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.
30 services28 patients

Hospital Affiliations CMS Care Compare 5

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Palm Bay Hospital

Acute Care Hospitals · Palm Bay, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100316
Location1425 Malabar Rd, NEPalm Bay, FL 32907 · Brevard County
Emergency services

Madison County Memorial Hospital

Critical Access Hospitals · Madison, FL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number101311
Location224 NW Crane AveMadison, FL 32340 · Madison County
Emergency services

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Clinch Memorial Hospital

Critical Access Hospitals · Homerville, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111308
Location1050 Valdosta HighwayHomerville, GA 31634 · Clinch County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03431 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
Most-billed visit code 99213
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.

90.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.5
Promoting Interoperability95.74
Improvement Activities40

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.

Advanced Practice Midwife
580 COURT ST
KEENE, NH 03431
Anesthesiology
580 COURT ST, DEPT OF ANESTHESIOLOGY
KEENE, NH 03431
Nurse Practitioner (Family)
580 COURT ST
KEENE, NH 03431
Internal Medicine
580 COURT ST
KEENE, NH 03431
Internal Medicine (Cardiovascular Disease)
580 COURT ST
KEENE, NH 03431
Radiology (Diagnostic Radiology)
580 COURT ST
KEENE, NH 03431
Physician Assistant
580 COURT ST
KEENE, NH 03431
Emergency Medicine
580 COURT ST, EMERGENCY DEPARTMENT
KEENE, NH 03431

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 Hetain Patel's NPI number?

The NPI number for Hetain Patel is 1710227954. It was assigned to this individual provider in the NPPES registry on February 25, 2013.

Where is Hetain Patel located?

Hetain Patel practices at 580 Court St, Keene, NH 03431. The listed phone number is (603) 354-5400.

What is Hetain Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Hetain Patel enrolled in Medicare?

Yes. Hetain 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 Hetain Patel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Hetain 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 Hetain Patel affiliated with any hospitals?

According to CMS data, Hetain Patel is affiliated with Holmes Regional Medical Center, Palm Bay Hospital, Madison County Memorial Hospital, Sgmc Health and Clinch Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Hetain Patel was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.