Hetal Patel, M.D.
NPI 1801190962 · Pulmonary Disease Physician · Edison, NJ
Enrolled with Medicare as Practitioner - Critical Care (intensivists) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hetal Patel, M.D. is a Pulmonary Disease Physician provider in Edison, NJ (NPI 1801190962).
Provider details
- NPI number
- 1801190962
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA09720900 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
15 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
3,322 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 | 1,432 | $84 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 596 | $140 |
| Critical Care, First 30-74 Minutes99291 | 411 | $226 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 262 | $139 |
| Test to Determine Lung Volumes Using Gas Dilution Or Washout94727 | 134 | $49 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 134 |
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 |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 228 | 41 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 142 | 60 |
| Prednisone | 99 | 59 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 94 | 18 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 58 | 11 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 55 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$4,281 across 62 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
- 2011-01-04
- Last updated
- 2015-07-13
Frequently asked questions
- What is Hetal Patel's NPI number?
- Hetal Patel's National Provider Identifier (NPI) is 1801190962, 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 Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Hetal Patel located?
- Hetal Patel's practice location on file with NPPES is 34 Simpson Ave, Edison, NJ 08817-4430.
- What is Hetal Patel's phone number?
- The practice phone number listed in the NPPES registry for Hetal Patel is (732) 572-0369.
- 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 (1801190962) is active in the NPPES registry as of the last update on 2015-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.