HETAL PATEL
NPI 1891290425
Physical Medicine & Rehabilitation in Myrtle Beach, SC

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
96.04/100
CMS Quality Rating
809 82ND PKWY, MYRTLE BEACH, SC 29572(843) 848-4670 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2023, Mar 26, 2018 (2 updates tracked since 2018).

About Hetal Patel NPPES

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

HETAL PATEL (NPI 1891290425) is an individual physical medicine & rehabilitation provider in Myrtle Beach, South Carolina, licensed in Washington (MD61471495) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center / Cherry Hill, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1891290425
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameHETAL PATEL
Location Address809 82ND PKWYMyrtle Beach, SC 29572-4607
Mailing Address809 82nd PkwyMyrtle Beach, SC 29572-4607
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 26, 2018
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1891290425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in WA · MD61471495
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
809 82ND PKWY, Myrtle Beach, SC 29572

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 Patel 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 ID6002166220
PECOS Enrollment IDI20230920003823
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 5

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.

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.
59 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
54 services29 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
30 services30 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
25 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

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.

96.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.91
Promoting Interoperability100
Improvement Activities40

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
809 82ND PKWY
MYRTLE BEACH, SC 29572
Emergency Medicine
809 82ND PKWY
MYRTLE BEACH, SC 29572
Nurse Practitioner
809 82ND PKWY
MYRTLE BEACH, SC 29572
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Internal Medicine (Medical Oncology)
809 82ND PKWY
MYRTLE BEACH, SC 29572
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572

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 1891290425. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Hetal Patel located?

Hetal Patel practices at 809 82nd Pkwy, Myrtle Beach, SC 29572. The listed phone number is (843) 848-4670.

What is Hetal Patel's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

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 Premera Blue Cross Blue Shield of Alaska and Providence Health Plan 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 Swedish Medical Center / Cherry Hill and Swedish Medical Center.

When was this NPI record last updated?

The NPPES record for Hetal Patel was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.