DR. HENAL A PATEL MD
NPI 1851972855
Internal Medicine in Newark, DE

Active since April 20, 2021PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON ROAD, SUITE 5A43, NEWARK, DE 19718(302) 623-0188(302) 733-5640 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 5, 2024, Jun 26, 2024, May 10, 2021 and 2 more (5 updates tracked since 2021).

About Dr. Henal A Patel Md NPPES

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

DR. HENAL A PATEL MD (NPI 1851972855) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C1-0027329) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Darby, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1851972855
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. HENAL A PATELCredential: MD
Location Address4755 OGLETOWN STANTON ROAD, SUITE 5A43Newark, DE 19718-2200
Mailing Address7000 Avalon WayPiscataway, NJ 08854-7019
Fax(302) 733-5640
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 20, 2021
Last NPPES UpdateSeptember 5, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
NPI 1851972855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in DE · C1-0027329
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.

4755 OGLETOWN STANTON ROAD, Newark, DE 19718

Secondary Practice Location 1

Location 11500 Lansdowne AveDarby, PA 19023-1200 · Phone (610) 237-4000

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

Dr. Henal A 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 ID6002357167
PECOS Enrollment IDI20240917003495, I20241125001686
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 3

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.
130 services61 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.
80 services46 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.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON ROAD
NEWARK, DE 19718
Nurse Practitioner (Obstetrics & Gynecology)
4755 OGLETOWN STANTON ROAD
NEWARK, DE 19718
Emergency Medicine
4755 OGLETOWN STANTON ROAD
NEWARK, DE 19718
Emergency Medicine
4755 OGLETOWN STANTON ROAD
NEWARK, DE 19718
Emergency Medicine
4755 OGLETOWN STANTON ROAD
NEWARK, DE 19718
Emergency Medicine
4755 OGLETOWN STANTON ROAD
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON ROAD
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON ROAD
NEWARK, DE 19718

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 Henal Patel's NPI number?

The NPI number for Henal Patel is 1851972855. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Henal Patel located?

Henal Patel practices at 4755 Ogletown Stanton Road Suite 5a43, Newark, DE 19718. The listed phone number is (302) 623-0188.

What is Henal Patel's specialty?

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

Is Henal Patel enrolled in Medicare?

Yes. Henal 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.

When was this NPI record last updated?

The NPPES record for Henal Patel was last updated on September 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.