HARDIKKUMAR PATEL MD
NPI 1831585744
Internal Medicine in Lebanon, NH

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER DR, DHMC - DEPT OF NEUROLOGY, LEBANON, NH 03756(603) 650-5000(603) 640-1228 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2025, Aug 12, 2025, Sep 19, 2024 and 2 more (5 updates tracked since 2018).

About Hardikkumar Patel Md NPPES

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

HARDIKKUMAR PATEL MD (NPI 1831585744) is an individual internal medicine provider in Lebanon, New Hampshire, licensed in New Hampshire (35134) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Wellstar Spalding Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1831585744
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHARDIKKUMAR PATELCredential: MD
Location Address1 MEDICAL CENTER DR, DHMC - DEPT OF NEUROLOGYLebanon, NH 03756-1000
Mailing AddressPo Box 810Hanover, NH 03755-0810 · (603) 308-1472
Fax(603) 640-1228
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 8, 2015
Last NPPES UpdateDecember 15, 20255 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
NPI 1831585744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NH · 35134 Licensed in GA · 80831 Licensed in TX · V0962
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License V0962 (TX)
1 MEDICAL CENTER DR, Lebanon, NH 03756

Secondary Practice Locations 4

Location 1585 Schenectady AveBrooklyn, NY 11203-1851 · Phone (718) 604-5401
Location 2304 Turner McCall Blvd SWRome, GA 30165-5621 · Phone (706) 509-5000
Location 3701 Grove Rd Fl 5Greenville, SC 29605-4210 · Phone (864) 455-4411 · Fax (864) 455-4480
Location 417500 W Grand Pkwy SSugar Land, TX 77479-2562 · Phone (281) 725-5026

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

Hardikkumar Patel Md 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 ID7214288554
PECOS Enrollment IDI20180925002971, I20240607002211, I20250812004856
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 6

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.

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.
711 services258 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
482 services280 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
237 services228 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
185 services180 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
123 services121 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Wellstar Spalding Medical Center

Acute Care Hospitals · Griffin, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110031
Location601 South 8th StreetGriffin, GA 30224 · Spalding County
Emergency services Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03756 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
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%94 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers22 claims22 services$32.30 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers27 claims27 services$16.75 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers51 claims51 services$71.48 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$32.49 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.

Nurse Practitioner (Family)
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF OCCUPATION MEDICINE
LEBANON, NH 03756
Pharmacist (Oncology)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Internal Medicine
1 MEDICAL CENTER DR, DHMC SECTION OF HOSPITAL MEDICINE
LEBANON, NH 03756
Otolaryngology
1 MEDICAL CENTER DR, OTOLARYNGOLOGY
LEBANON, NH 03756
Colon & Rectal Surgery
1 MEDICAL CENTER DR, COLON & RECTAL SURGERY DEPARTMENT
LEBANON, NH 03756
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756
Internal Medicine (Cardiovascular Disease)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756

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 Hardikkumar Patel's NPI number?

The NPI number for Hardikkumar Patel is 1831585744. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Hardikkumar Patel located?

Hardikkumar Patel practices at 1 Medical Center Dr Dhmc - Dept Of Neurology, Lebanon, NH 03756. The listed phone number is (603) 650-5000.

What is Hardikkumar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hardikkumar Patel enrolled in Medicare?

Yes. Hardikkumar 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 Hardikkumar Patel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from NH Healthy Families, Ambetter of Alabama and Ambetter of North Carolina and 6 other insurers list Hardikkumar 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 Hardikkumar Patel affiliated with any hospitals?

According to CMS data, Hardikkumar Patel is affiliated with Wellstar Spalding Medical Center, Wellstar Kennestone Regional Medical Center, Wellstar Cobb Medical Center, Wellstar North Fulton Hospital and Mary Hitchcock Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Hardikkumar Patel was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.