HETAL M PATEL M.D.
NPI 1851645626
Specialist in Port Charlotte, FL

Active since November 01, 2012PECOS EnrolledAccepts Medicare Assignment
21297 OLEAN BLVD STE A, PORT CHARLOTTE, FL 33952(855) 979-5700 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2019, Feb 26, 2018 (2 updates tracked since 2018).

About Hetal M Patel M.d. NPPES

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

HETAL M PATEL M.D. (NPI 1851645626) is an individual specialist in Port Charlotte, Florida, licensed in Florida (ME 114270) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Fawcett Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1851645626
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameHETAL M PATELCredential: M.D.
Location Address21297 OLEAN BLVD STE APort Charlotte, FL 33952-6704
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 599-2612
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 1, 2012
Last NPPES UpdateDecember 2, 20192 updates tracked since enumeration
NPI 1851645626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · ME 114270
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
21297 OLEAN BLVD STE A, Port Charlotte, FL 33952

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

Hetal M Patel M.d. 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 ID5799939476
PECOS Enrollment IDI20130205000165
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 7

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 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.
963 services355 patients
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.
475 services245 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.
376 services354 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.
91 services84 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.
79 services77 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Fawcett Hospital

Acute Care Hospitals · Port Charlotte, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100236
Location21298 Olean BlvdPort Charlotte, FL 33952 · Charlotte County
Emergency services

Hca Florida Englewood Hospital

Acute Care Hospitals · Englewood, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100267
Location700 Medical BlvdEnglewood, FL 34223 · Sarasota County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$16.24 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
2 suppliers13 claims13 services$84.30 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.

Hospitalist
21297 OLEAN BLVD STE A
PORT CHARLOTTE, FL 33952
Internal Medicine
21297 OLEAN BLVD STE A
PORT CHARLOTTE, FL 33952
Internal Medicine
21297 OLEAN BLVD STE A
PORT CHARLOTTE, FL 33952
Physician Assistant
21297 OLEAN BLVD STE A
PORT CHARLOTTE, FL 33952
Family Medicine
21297 OLEAN BLVD STE A
PORT CHARLOTTE, FL 33952
Nurse Practitioner (Family)
21297 OLEAN BLVD STE A
PORT CHARLOTTE, FL 33952
Internal Medicine
21297 OLEAN BLVD STE A
PORT CHARLOTTE, FL 33952
Nurse Practitioner (Family)
21297 OLEAN BLVD STE A
PORT CHARLOTTE, FL 33952

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 Hetal Patel's NPI number?

The NPI number for Hetal Patel is 1851645626. It was assigned to this individual provider in the NPPES registry on November 1, 2012.

Where is Hetal Patel located?

Hetal Patel practices at 21297 Olean Blvd Ste A, Port Charlotte, FL 33952. The listed phone number is (855) 979-5700.

What is Hetal Patel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Hetal Patel enrolled in Medicare?

Yes. Hetal 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 Hetal Patel accept?

Health plans from Molina Healthcare list Hetal 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 Hetal Patel affiliated with any hospitals?

According to CMS data, Hetal Patel is affiliated with Hca Florida Fawcett Hospital and Hca Florida Englewood Hospital.

When was this NPI record last updated?

The NPPES record for Hetal Patel was last updated on December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.