Physician Profile
Unclaimed ProfileAbout PATEL
Based in Newark, NJ, Hemantkumar G Patel, MD is listed in the NPI registry under pulmonary disease. Medicare claims data shows Hemantkumar provided 6,541 services to 1,655 patients.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
Education & Training
Areas of Expertise
Licensing & Certification
Source: NPPES NPI Registry
Contact Information
- (973) 373-7700
- Email not available
Practice Locations
646 SANFORD AVE
Newark, NJ 07106
Procedures Most Often Billed to Medicare
6,541 services · 1,655 patients · 14 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
3,006 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | Office visit | 99231 |
1,984 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
450 |
| Hospital discharge day management, 30 minutes or less | Office visit | 99238 |
342 |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
152 |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | Office visit | 99307 |
136 |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
109 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | Office visit | 99490 |
106 |
| Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | Office visit | 99439 |
98 |
| 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' | Billing code | G2211 |
46 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at this address 2
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other pulmonary diseases in Newark 8
Same specialty, same city.
Trained at Other 8
Other providers in the same specialty who trained at the same institution.
More connections — 8 related providers in 1 group
Class of 1982 at Other 8
Providers who graduated from the same medical school in the same year.
Common questions
What does Dr. Patel specialize in?
Dr. Patel is a pulmonary disease in Newark, NJ. This is the primary taxonomy recorded against the NPI in the federal registry, listed there as “PULMONARY DISEASE”.
NPI registry
Where is Dr. Patel located?
Dr. Patel is listed at 646 SANFORD AVE, Newark, NJ 07106. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
What is Dr. Patel's phone number?
The number on file is (973) 373-7700. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
What is the NPI for Dr. Patel?
Dr. Patel's National Provider Identifier is 1932178357. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Dr. Patel go to medical school?
Dr. Patel attended Other, graduating in 1982. This comes from the CMS National Downloadable File.
CMS public data
How much experience does Dr. Patel have?
Dr. Patel has 44 years experience. Calculated from a graduation year of 1982, reported in the CMS National Downloadable File.
CMS public data
What does Dr. Patel do most often?
According to Medicare billing data, Dr. Patel the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Is Dr. Patel's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Patel. If this is you, claiming it is free.
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Claim this profileProvider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.