Hetal Patel, M.D.
NPI 1205872504 · Family Medicine Physician · Waterloo, IA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hetal Patel, M.D. is a Family Medicine Physician provider in Waterloo, IA (NPI 1205872504).
Provider details
- NPI number
- 1205872504
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 34435 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 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
43 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) |
|---|---|---|
| Removal of Impacted Ear Wax69210 | 30 | $30 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 13 | $90 |
Typical Medicare-allowed amounts for these services range $30–$90 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$41 across 2 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
- 2006-06-22
- Last updated
- 2007-07-16
Frequently asked questions
- What is Hetal Patel's NPI number?
- Hetal Patel's National Provider Identifier (NPI) is 1205872504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hetal Patel's specialty?
- Hetal Patel is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Hetal Patel located?
- Hetal Patel's practice location on file with NPPES is 2710 Saint Francis Dr, Waterloo, IA 50702-5619.
- What is Hetal Patel's phone number?
- The practice phone number listed in the NPPES registry for Hetal Patel is (319) 272-5000.
- Does Hetal Patel accept Medicare?
- Hetal Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hetal Patel's NPI active?
- Yes — Hetal Patel's NPI (1205872504) is active in the NPPES registry as of the last update on 2007-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.