Individual provider Active NPI

Hiral Patel, NP

  • Nurse Practitioner
  • Deer Park, NY
National Provider Identifier
1306389937
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F307809 Issued in NY
Practice address
1600 Deer Park Ave
Deer Park, NY 11729-5208
Phone
(631) 667-0388
Fax
(631) 737-0208
NPI assigned
Nov 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X F307809-1 NY
Nurse Practitioner 363L00000X F307809 NY Primary

Addresses

Primary practice location

1600 Deer Park Ave
Deer Park, NY 11729-5208

Mailing address

1600 Deer Park Ave
Deer Park, NY 11729-5208
Phone (631) 667-0388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170426001073 NY Practitioner - Nurse Practitioner 5991082141 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Comprehensive Medical Care PLLCGroup PAC ID 3678731908, 41 clinicians

Practice addresses (Care Compare)

1231 Deer Park Ave
North Babylon, NY 11703-3104
Phone 6316670388612

Merit-based Incentive Payment System (MIPS)

Final score
92.32 of 100Reported as group
Quality
73.65
Promoting interoperability
95
Improvement activities
40
Cost
71.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F307809NYMDNurse Practitioner
F307809-1NYMDAdult Health Clinical Nurse Specialist

Practice roles (1 of 5)

OrganizationSpecialtyStatusNew patients
Shahzad Iqbal Physician PLLC PastSince Jan 16, 2024 Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: hiral.patel@lcmc.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1306389937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295208",
            "telephone_number": "631-667-0388",
            "fax_number": "631-737-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295208",
            "telephone_number": "631-667-0388",
            "fax_number": "631-737-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HIRAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NY",
            "license": "F307809-1",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F307809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

Verify at the official NPI Registry.