Individual provider Active NPI

Hershal Patel, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1902104631
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07118 Issued in NC
Practice address
13845 Conlan Cir
Charlotte, NC 28277-2705
Phone
(866) 289-2727
NPI assigned
Mar 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-07118 NC Primary

Addresses

Primary practice location

13845 Conlan Cir
Charlotte, NC 28277-2705

Mailing address

13845 Conlan Circle
Charlotte, NC 28277

Other practice location 1

13845 Conlan Cir
Charlotte, NC 28277-2705
Phone (866) 389-2727

Other practice location 2

5500 N MacArthur Blvd
Irving, TX 75038-2603
Phone (972) 518-1325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20171121003428 NC Practitioner - Physician Assistant 1456524263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of North Carolina PCGroup PAC ID 6002837572, 208 clinicians

Practice addresses (Care Compare)

1 CVS Dr
Woonsocket, RI 02895-6146

1075 E Hudson Blvd
Gastonia, NC 28054-1694
Phone (866) 389-2727

3310 Siskey Pkwy
Matthews, NC 28105-3222
Phone (866) 389-2727

6840 Glenwood Ave
Raleigh, NC 27612-7133
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care North Carolina PLLC Physician Assistant CurrentSince Sep 21, 2025 Accepting new patients

Locations

10100 S Main St
Archdale, NC 27263
Phone (336) 431-0715

13845 Conlan Cir
Charlotte, NC 28277
Phone (704) 544-2092

3310 Siskey Pkwy
Matthews, NC 28105
Phone (704) 849-2271

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

Networks

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

Organizations & group practices 2

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": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902104631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13845 CONLAN CIRCLE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13845 CONLAN CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772705",
            "telephone_number": "866-289-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13845 Conlan Cir",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282772705",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5500 N MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750382603",
            "country_code": "US",
            "telephone_number": "972-518-1325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HERSHAL",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.