HEMANT G PATEL MD PA
NPI 1841245081
Specialist in Newark, NJ
About Hemant G Patel Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEMANT G PATEL MD PA (NPI 1841245081) is a healthcare organization registered as a specialist in Newark, New Jersey and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 3, 2028 and lists Hemantkumar G Patel, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hemant G Patel Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Hemant G Patel MD PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 31D0946915
Hemant Patel MD · Newark, NJFrequently 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 Hemant G Patel MD PA's NPI number?
The NPI number for Hemant G Patel MD PA is 1841245081. It was assigned to this organization in the NPPES registry on May 24, 2006.
Where is Hemant G Patel MD PA located?
Hemant G Patel MD PA is located at 646 Sanford Ave, Newark, NJ 07106. The listed phone number is (973) 373-7700.
What is Hemant G Patel MD PA's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Hemant G Patel MD PA enrolled in Medicare?
Yes. Hemant G Patel MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hemant G Patel MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Hemant G Patel MD PA, in Infectious Disease, Nurse Practitioner and Pulmonary Disease. A 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 the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hemant G Patel MD PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D0946915) is associated with this NPI, valid through June 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Hemant G Patel MD PA accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Hemant G Patel MD PA 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.
When was this NPI record last updated?
The NPPES record for Hemant G Patel MD PA was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Hemant G Patel Md Pa · NPI 1841245081
Specialist organization in Newark, New Jersey. Organization record, active in the CMS NPPES registry since May 24, 2006.
## Identity
- **NPI:** 1841245081 (Entity type: Organization)
- **Enumerated:** May 24, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Hemantkumar Patel, OWNER
## Practice location
- **Address:** 646 SANFORD AVE, Newark, NJ 07106-3036
- **Phone:** (973) 373-7700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Infectious Disease (1), Nurse Practitioner (1), Pulmonary Disease (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2014
- **Other identifiers:** Medicare UPIN I45674 (NJ); Medicare UPIN E13126 (NJ); Medicare ID-Type Unspecified 092509 (NJ); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1841245081) · Data from the CMS NPPES public registry.