HITEN PATEL MD/CARDIOLOGY
NPI 1831435494
Internal Medicine - Interventional Cardiology in Lumberton, NC
About Hiten Patel Md/cardiology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HITEN PATEL MD/CARDIOLOGY (NPI 1831435494) is an individual interventional cardiology provider in Lumberton, North Carolina, licensed in North Carolina (2018-00041) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
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
Hiten Patel Md/cardiology 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
5Medicare enrollment records show Hiten Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lumberton, NC 28358
- Reassigned Medicare billing, North Carolina enrollment
- 122 clinicians in this Medicare group
Pembroke, NC 28372
- Reassigned Medicare billing, North Carolina enrollment
- 56 clinicians in this Medicare group
Hamlet, NC 28345
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Novant Health Medical Group, LLC
- Also billed through NPI 1710051123 (North Carolina)
- 2,998 clinicians in this Medicare group
Monroe, NC 28112
- Reassigned Medicare billing, North Carolina enrollment
- 926 clinicians in this Medicare group
Matthews, NC 28105
- Reassigned Medicare billing, North Carolina enrollment
- 649 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 29
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southeastern Regional Medical Center
Acute Care Hospitals · Lumberton, NCUnc Hospitals
Acute Care Hospitals · Chapel Hill, NCFirsthealth Moore Regional Hospital
Acute Care Hospitals · Pinehurst, NCNovant Health Matthews Medical Center
Acute Care Hospitals · Matthews, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28358 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LUMBERTON, NC 28358
LUMBERTON, NC 28358
LUMBERTON, NC 28358
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 Hiten Patel's NPI number?
The NPI number for Hiten Patel is 1831435494. It was assigned to this individual provider in the NPPES registry on December 28, 2012.
Where is Hiten Patel located?
Hiten Patel practices at 2936 N Elm St Ste 102, Lumberton, NC 28358. The listed phone number is (910) 671-6619.
What is Hiten Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Hiten Patel enrolled in Medicare?
Yes. Hiten 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 Hiten Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hiten Patel reassigns Medicare benefits to 5 organizations: Southeastern Regional Physician Services (Lumberton, NC), Mcpc-5, LLC (Pembroke, NC), Novant Medical Group, Inc (Hamlet, NC), The Presbyterian Hospital (Monroe, NC) and Novant Health Matthews Medical Center LLC (Matthews, NC). 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 Hiten Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hiten Patel accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Hiten 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 Hiten Patel affiliated with any hospitals?
According to CMS data, Hiten Patel is affiliated with Southeastern Regional Medical Center, Unc Hospitals, Firsthealth Moore Regional Hospital and Novant Health Matthews Medical Center.
When was this NPI record last updated?
The NPPES record for Hiten Patel was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.