Individual provider Active NPI

Hetal Pradeepkumar Patel, M.D., M.P.H.

  • Psychiatry Physician
  • Chesterfield, MI
National Provider Identifier
1508068685
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301086421 Issued in MI
Practice address
30472 23 Mile Rd
Chesterfield, MI 48047-1844
Phone
(586) 863-4000
Fax
(586) 863-4004
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301086421 MI Primary

Addresses

Primary practice location

30472 23 Mile Rd
Chesterfield, MI 48047-1844

Mailing address

30472 23 Mile Rd
Chesterfield, MI 48047-1844
Phone (586) 863-0000

Other practice location 1

625 E Big Beaver Rd Ste 200
Troy, MI 48083-1434
Phone (586) 863-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090507000515 MI Practitioner - Psychiatry 0648328351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hetal Patel MD PCGroup PAC ID 0345470316, 2 clinicians

Practice addresses (Care Compare)

30472 23 Mile Rd
Chesterfield, MI 48047-1844
Phone (586) 863-4000

625 E Big Beaver Rd
200 Helios Psychiatry and Counseling
Troy, MI 48083-4540
Phone (586) 863-4000

Merit-based Incentive Payment System (MIPS)

Final score
14.69 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
48.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hetal Patel, M.D. P.C. Psychiatry CurrentSince Nov 16, 2013 Accepting new patients
C.W. Enterprise LLC Psychiatry Past Accepting new patients
C.W. Enterprise LLC Psychiatry Past Accepting new patients
Henry Ford Health System Past Accepting new patients

Locations

30472 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 863-4000

35031 23 Mile Rd
New Baltimore, MI 48047
Phone (586) 684-4870

35054 23 Mile Rd
Ste 104
New Baltimore, MI 48047
Phone (586) 716-0500

625 E Big Beaver Rd
Ste 200
Troy, MI 48083
Phone (586) 863-4000

Interoperability endpoints

  • Direct secure messaging: hetal.patel.1@24454.direct.athenahealth.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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1508068685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30472 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480471844",
            "telephone_number": "586-863-0000",
            "fax_number": "586-863-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30472 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480471844",
            "telephone_number": "586-863-4000",
            "fax_number": "586-863-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 E Big Beaver Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480831434",
            "country_code": "US",
            "telephone_number": "586-863-4000",
            "fax_number": "586-863-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HETAL",
        "middle_name": "PRADEEPKUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301086421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.