HIRENKUMAR R PATEL PA
NPI 1811928468
Physician Assistant in Charlotte, NC

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
101 E W T HARRIS BLVD, STE 5401, CHARLOTTE, NC 28262(704) 863-9700 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 48 more (51 updates tracked since 2018).

About Hirenkumar R Patel Pa NPPES

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

HIRENKUMAR R PATEL PA (NPI 1811928468) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (103467) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1811928468
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameHIRENKUMAR R PATELCredential: PA
Location Address101 E W T HARRIS BLVD, STE 5401Charlotte, NC 28262-3485
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 15, 202451 updates tracked since enumeration
NPI 1811928468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 103467
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
101 E W T HARRIS BLVD, Charlotte, NC 28262

Secondary Practice Locations 4

Location 115110 John J Delaney Dr, Ste 200Charlotte, NC 28277-3544 · Phone (704) 302-8100
Location 2332 N Trade St, Ste 2000Matthews, NC 28105-1728 · Phone (704) 302-8500
Location 35717 Albemarle RdCharlotte, NC 28212-1634 · Phone (704) 563-2150
Location 413640 Steelecroft Pkwy, Ste 320Charlotte, NC 28278-7565 · Phone (704) 302-8900

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 R Patel Pa 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 ID2062515810
PECOS Enrollment IDI20070315000104
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 3

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.
93 services67 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.
75 services73 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
16 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Pulmonary Disease)
101 E W T HARRIS BLVD, BLDG 5000 SUITE #5101
CHARLOTTE, NC 28262
Internal Medicine (Cardiovascular Disease)
101 E W T HARRIS BLVD, STE 1213
CHARLOTTE, NC 28262
Pediatrics
101 E W T HARRIS BLVD, STE 1121
CHARLOTTE, NC 28262
Pediatrics
101 E W T HARRIS BLVD, STE 1121
CHARLOTTE, NC 28262
Nurse Practitioner
101 E W T HARRIS BLVD
CHARLOTTE, NC 28262
Pediatrics
101 E W T HARRIS BLVD, SUITE 1121
CHARLOTTE, NC 28262
Internal Medicine (Hematology)
101 E W T HARRIS BLVD, STE 5500
CHARLOTTE, NC 28262
Obstetrics & Gynecology
101 E W T HARRIS BLVD, STE 2320
CHARLOTTE, NC 28262

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 1811928468. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Hirenkumar Patel located?

Hirenkumar Patel practices at 101 E W T Harris Blvd Ste 5401, Charlotte, NC 28262. The listed phone number is (704) 863-9700.

What is Hirenkumar Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

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 from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina 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 Carolinas Medical Center/Behav Health and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Hirenkumar Patel was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.