HIRAL PATEL NP
NPI 1942729629
Nurse Practitioner - Family in Woodbridge, VA

Active since September 14, 2017PECOS Enrolled
5808 MAPLEDALE PLZ, WOODBRIDGE, VA 22193(571) 659-9387 Get Directions Write a Review

NPPES record last updated: February 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hiral Patel Np NPPES

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

HIRAL PATEL NP (NPI 1942729629) is an individual family provider in Woodbridge, Virginia, licensed in Virginia (0024175322) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942729629
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHIRAL PATELCredential: NP
Location Address5808 MAPLEDALE PLZWoodbridge, VA 22193-4535
Mailing Address5808 Mapledale PlzWoodbridge, VA 22193-4535
Sole ProprietorYes
Enumeration DateSeptember 14, 2017
Last NPPES UpdateFebruary 21, 2026
NPPES CertifiedFebruary 21, 2026
NPI 1942729629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024175322
5808 MAPLEDALE PLZ, Woodbridge, VA 22193

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 (PECOS)

Hiral Patel Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22193 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each A5057
DME-Orthotic Devices · category DF010N
1 supplier12 claims230 services$8.46 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
5808 MAPLEDALE PLZ
WOODBRIDGE, VA 22193

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 Hiral Patel's NPI number?

The NPI number for Hiral Patel is 1942729629. It was assigned to this individual provider in the NPPES registry on September 14, 2017.

Where is Hiral Patel located?

Hiral Patel practices at 5808 Mapledale Plz, Woodbridge, VA 22193. The listed phone number is (571) 659-9387.

What is Hiral Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Hiral Patel enrolled in Medicare?

Yes. Hiral Patel is registered in the Medicare PECOS enrollment system.

What insurance does Hiral Patel accept?

Health plans from Blue Cross and Blue Shield of NC and Providence Health Plan list Hiral 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.

When was this NPI record last updated?

The NPPES record for Hiral Patel was last updated on February 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.