Hiran Patel, M.D.
NPI 1265095251 · Internal Medicine Physician · Somerville, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hiran Patel, M.D. is a Internal Medicine Physician provider in Somerville, NJ (NPI 1265095251).
Provider details
- NPI number
- 1265095251
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA11522300 (NJ)
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
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
507 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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 338 | $179 |
| Advance Care Planning, First 30 Minutes99497 | 169 | $80 |
Typical Medicare-allowed amounts for these services range $80–$179 (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.
$147 across 1 record (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 (1)
- 1515 Locust St Floor 1st, Mercy ClinicPittsburgh, PA 15219Phone: (412) 232-8411
Registry dates
- Enumerated
- 2019-04-16
- Last updated
- 2024-05-09
- Certified
- 2024-05-09
Frequently asked questions
- What is Hiran Patel's NPI number?
- Hiran Patel's National Provider Identifier (NPI) is 1265095251, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hiran Patel's specialty?
- Hiran Patel is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Hiran Patel located?
- Hiran Patel's practice location on file with NPPES is 110 Rehill Ave, Somerville, NJ 08876-2519.
- What is Hiran Patel's phone number?
- The practice phone number listed in the NPPES registry for Hiran Patel is (908) 685-2200.
- Does Hiran Patel accept Medicare?
- Hiran Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hiran Patel's NPI active?
- Yes — Hiran Patel's NPI (1265095251) is active in the NPPES registry as of the last update on 2024-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.