Hiral Patel, FNP
NPI 1164207007 · Family Nurse Practitioner · Middletown, DE
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hiral Patel, FNP is a Family Nurse Practitioner provider in Middletown, DE (NPI 1164207007).
Provider details
- NPI number
- 1164207007
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- L1-0072083 (DE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
2 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
176 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 60 | $107 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 53 | $155 |
| 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 | 44 | $14 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 19 | $108 |
Typical Medicare-allowed amounts for these services range $14–$155 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tirzepatidebrand: Mounjaro | 30 | 14 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 28 | 19 |
| Semaglutidebrand: Ozempic | 24 | — |
| Dulaglutidebrand: Trulicity | 24 | 11 |
| Glucagonbrand: Baqsimi | 19 | 17 |
| Empagliflozinbrand: Jardiance | 19 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-08-29
- Last updated
- 2023-08-29
- Certified
- 2023-08-29
Frequently asked questions
- What is Hiral Patel's NPI number?
- Hiral Patel's National Provider Identifier (NPI) is 1164207007, 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 Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Hiral Patel located?
- Hiral Patel's practice location on file with NPPES is 621 Middletown Odessa Rd Fl 2, Middletown, DE 19709-9602.
- What is Hiral Patel's phone number?
- The practice phone number listed in the NPPES registry for Hiral Patel is (302) 203-2230.
- 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 (1164207007) is active in the NPPES registry as of the last update on 2023-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.