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- 646 Sanford Ave, Newark, NJ 07106
About Dr. 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. The services billed most often include subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes, subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes, and initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes. NPI 1932178357 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (973) 373-7700
- Email not available
Practice Locations
646 SANFORD AVE
Newark, NJ 07106
Conditions Commonly Evaluated or Treated
Within Pulmonary Disease generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Most searched conditions
Airway disorders
Blood vessel disorders
Critical care
Diagnostic findings
Environmental lung diseases
Genetic conditions
Infections
- Community-acquired pneumonia
- Fungal lung infection
- Legionnaires' Disease
- Lung abscess
- NTM lung infection
- Severe Pneumonia
- Tuberculosis
- Valley fever
- Walking Pneumonia in Children
- Whooping Cough
Inflammatory conditions
Lung growths
Occupational & environmental
Pleural disorders
Post-infection conditions
Sleep disorders
- Excessive daytime sleepiness
- Shallow Breathing In Sleep
- Snoring
- Upper Airway Resistance Syndrome
- Waking Up Gasping Or Choking
Structural lung conditions
Symptoms
- Blue Baby Syndrome
- Chest congestion
- Coughing up blood
- Low oxygen levels
- Rapid Breathing
- Severe asthma attack
- Wheezing
Procedures & services
Most searched procedures
Airway care
Airway management
Biopsies
Biopsies & diagnostics
Breathing tests
- 6-minute walk test
- Asthma challenge test
- Cardiopulmonary Exercise Testing (CPET)
- Exhaled nitric oxide test
Cancer diagnostic procedures
Consultations
Counseling & prevention
Critical care
Diagnostic procedures
Drainage care
Imaging
Interventional procedures
Lab tests
Lung tests
Medications
Monitoring
Pleural procedures
- Chest tube insertion
- Draining lung fluid
- Medical thoracoscopy
- Permanent chest drain insertion
- Pleural sealing procedure
Procedures
Rehabilitation
Screening
Sleep equipment
Sleep medicine
Sleep treatments
Specialist evaluations
Specialized testing
Treatments
Procedures Most Often Billed to Medicare
6,541 services · 1,655 patients · 14 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
3,006 | More than most peers in Pulmonary Disease |
| 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 | More than most peers in Pulmonary Disease |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
450 | More than most peers in Pulmonary Disease |
| Hospital discharge day management, 30 minutes or less | Office visit | 99238 |
342 | More than most peers in Pulmonary Disease |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
152 | More often than most peers in Pulmonary Disease |
| Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | Office visit | 99307 |
136 | As often as other peers in Pulmonary Disease |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
109 | As often as other peers in Pulmonary Disease |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | Office visit | 99490 |
106 | As often as other peers in Pulmonary Disease |
| 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 | As often as other peers in Pulmonary Disease |
| 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 | As often as other peers in Pulmonary Disease |
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 lung specialists 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 lung specialist in Newark, NJ. That is the designation recorded for this NPI in the federal registry, where it is listed 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. Contact the office directly to confirm availability and scheduling.
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.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.