DR. HEMANTKUMAR G PATEL (MD) – Pulmonary Disease Physician, NPI 1932178357
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
632 PULMONARY DISEASE in NJ
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Provider Addresses for DR. HEMANTKUMAR G PATEL (MD)
290, Pattinson's Road, Runham Vauxhall, Great Yarmouth, Norfolk, East of England, England, NR30 1SJ, United Kingdom
VAUXHALL, NJ 070880290
Phone: (973) 373-7700
Fax: (973) 373-8177
Type: Mailing
646, Sanford Avenue, Newark, Essex County, New Jersey, 07106, United States
NEWARK, NJ 071063036
Phone: (973) 373-7700
Fax: (973) 373-8177
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $559.
Total Amount is formed as General ($559) + Research ($0) + Ownership ($0) = $559.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($282).
Total Amount
$559
General + Research + Ownership
Payments
27
Total payment records
General Amount
$559
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-12-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101227000847 | I | Pulmonary Disease | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 2,270 | 336 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 2,161 | 360 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 703 | 133 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 460 | 368 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 354 | 283 | $0 |
Insurance plans in this area (ZIP 07088)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | NJ | 31622 | Diagnostic examination of lung airways using an endoscope | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | NJ |
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