HITEN PATEL MD/CARDIOLOGY
NPI 1831435494
Internal Medicine - Interventional Cardiology in Lumberton, NC

Active since December 28, 2012PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2936 N ELM ST STE 102, LUMBERTON, NC 28358(910) 671-6619(910) 608-0487 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2020, Jun 25, 2018 (2 updates tracked since 2018).

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

NPI1831435494
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameHITEN PATELCredential: MD/CARDIOLOGY
Location Address2936 N ELM ST STE 102Lumberton, NC 28358-2981
Mailing Address2002 N Cedar St Ste BLumberton, NC 28358-3926 · (910) 272-3048 · Fax (910) 738-3764
Fax(910) 608-0487
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 28, 2012
Last NPPES UpdateNovember 6, 20202 updates tracked since enumeration
NPPES CertifiedNovember 6, 2020
✔ NPI 1831435494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in NC · 2018-00041
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
2936 N ELM ST STE 102, Lumberton, NC 28358

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

PECOS PAC ID9032467758
PECOS Enrollment IDI20180813000065
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.

Medicare Billing Reassignments

5

Medicare 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.

Clinic/Center
2934 NORTH ELM ST., SUITE B
Lumberton, NC 28358
  • Reassigned Medicare billing, North Carolina enrollment
  • 122 clinicians in this Medicare group
Cardiovascular Disease
812 CANDY PARK RD
Pembroke, NC 28372
  • Reassigned Medicare billing, North Carolina enrollment
  • 56 clinicians in this Medicare group
Family Medicine
104 RICE ST, DBA THE SANDHILLS MEDICAL 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
Cardiovascular Disease
1640 E ROOSEVELT BLVD
Monroe, NC 28112
  • Reassigned Medicare billing, North Carolina enrollment
  • 926 clinicians in this Medicare group
Specialist
1500 MATTHEWS TOWNSHIP PKWY
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
384 services289 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
122 services111 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.
106 services75 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
84 services21 patients
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.
69 services68 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
58 services52 patients

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, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340050
Location300 W 27 St PO Box 1408Lumberton, NC 28359 · Robeson County
Emergency services Birthing friendly

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Physician 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.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Internal Medicine
2936 N ELM ST STE 102
LUMBERTON, NC 28358
Nurse Practitioner
2936 N ELM ST STE 102
LUMBERTON, NC 28358
Nurse Practitioner (Family)
2936 N ELM ST STE 102
LUMBERTON, NC 28358
Internal Medicine (Interventional Cardiology)
2936 N ELM ST STE 102
LUMBERTON, NC 28358
Internal Medicine (Cardiovascular Disease)
2936 N ELM ST STE 102
LUMBERTON, NC 28358
Nurse Practitioner (Adult Health)
2936 N ELM ST STE 102
LUMBERTON, NC 28358
Internal Medicine (Cardiovascular Disease)
2936 N ELM ST STE 102
LUMBERTON, NC 28358
Clinic/Center
2936 N ELM ST STE 102
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.