Hemal Patel, DO
NPI 1245626522 · Internal Medicine Physician · Hackensack, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hemal Patel, DO is a Internal Medicine Physician provider in Hackensack, NJ (NPI 1245626522).
Provider details
- NPI number
- 1245626522
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 288730 (NY)
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
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,377 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 580 | $78 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 406 | $120 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 142 | $169 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 127 | $116 |
| Advance Care Planning, First 30 Minutes99497 | 70 | $73 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 52 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rsv Vacc, Pref a and Pref B/Pfbrand: Abrysvo | 96 | 96 |
| Atorvastatin Calcium | 29 | 26 |
| Pantoprazole Sodium | 20 | 18 |
| Furosemide | 20 | 15 |
| Metoprolol Succinate | 16 | 12 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 16 | 14 |
| Prednisone |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$128 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
Additional practice locations (3)
- 22303 Dupont BlvdGeorgetown, DE 19947-2153Phone: (302) 440-4866
- 240 Meeting House LnSouthampton, NY 11968-5009Phone: (631) 726-8200
- 744 S Webster AveGreen Bay, WI 54301Phone: (920) 433-3500
Registry dates
- Enumerated
- 2015-04-13
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Frequently asked questions
- What is Hemal Patel's NPI number?
- Hemal Patel's National Provider Identifier (NPI) is 1245626522, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hemal Patel's specialty?
- Hemal Patel is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Hemal Patel located?
- Hemal Patel's practice location on file with NPPES is 100 River St Apt 246, Hackensack, NJ 07601-7451.
- What is Hemal Patel's phone number?
- The practice phone number listed in the NPPES registry for Hemal Patel is (631) 372-1312.
- Does Hemal Patel accept Medicare?
- Hemal Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hemal Patel's NPI active?
- Yes — Hemal Patel's NPI (1245626522) is active in the NPPES registry as of the last update on 2026-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.