Hiral Patel, DO
NPI 1023137742 · Sleep Medicine (Internal Medicine) Physician · Berwyn, PA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hiral Patel, DO is a Sleep Medicine (Internal Medicine) Physician provider in Berwyn, PA (NPI 1023137742).
Provider details
- NPI number
- 1023137742
- Entity type
- Individual
- Primary specialty
- Sleep Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- OS012407 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,979 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 659 | $132 |
| Test to Measure Expiratory Airflow and Volume94010 | 339 | $28 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 309 | $17 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 169 | $172 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 100 | $94 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 32 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 422 | 194 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 242 | 51 |
| Montelukast Sodium | 225 | 70 |
| Prednisone | 160 | 96 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 154 | 44 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 128 | 34 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$510 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2022-07-08
- Certified
- 2022-07-08
Frequently asked questions
- What is Hiral Patel's NPI number?
- Hiral Patel's National Provider Identifier (NPI) is 1023137742, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hiral Patel's specialty?
- Hiral Patel is listed in the NPPES registry with a primary specialty of Sleep Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Hiral Patel located?
- Hiral Patel's practice location on file with NPPES is 1001 Chesterbrook Blvd Fl 3, Berwyn, PA 19312-3805.
- What is Hiral Patel's phone number?
- The practice phone number listed in the NPPES registry for Hiral Patel is (610) 576-7600.
- Does Hiral Patel accept Medicare?
- Hiral Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hiral Patel's NPI active?
- Yes — Hiral Patel's NPI (1023137742) is active in the NPPES registry as of the last update on 2022-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.