Hetal Mahendra Patel, M.D.
Pulmonary Disease Physician · Edison, NJ
Hetal Mahendra Patel, M.D. is a pulmonary disease physician with a practice address in Edison, New Jersey, and NPI 1801190962, issued on Jan 4, 2011. Check the license (New Jersey 25MA09720900, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Hetal Mahendra Patel
- Credential
- M.D.
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 25MA09720900 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 34 Simpson Ave, Edison, NJ 08817
- Phone
- (732) 572-0369
- Enumerated
- Jan 4, 2011
- Record last updated
- Jul 13, 2015 (not updated in 11 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20160322000026); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 509 in New Jersey → Look up another NPI →
Verify Hetal Mahendra Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA09720900Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
29% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
1,006 Medicare Part D claims for 190 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 63% of claims.
Most prescribed
- Trelegy Ellipta228 claims
- Albuterol Sulfate Hfa142 claims
- Prednisone99 claims
- Breo Ellipta94 claims
- Anoro Ellipta58 claims
- Breztri Aerosphere55 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 89 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $4,281.25
62 payments; by number, the most common kind was food and beverage; the largest payer was Intuitive Surgical, Inc. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Lopa M Patel, LLCMontclair, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Hetal Mahendra Patel among 509 pulmonary disease physician records in New Jersey
Hetal Mahendra Patel, M.D. is one of 509 pulmonary disease physician records with a practice address in New Jersey. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 75% of them.
- NPI issued2011 · 75% of these records are older, 21% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 79% of these records are
- Graduated2008 · median 1998 among the 401 with a school on file
- Record last updated2015 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in New Jersey
There are 509 pulmonary disease physician records in New Jersey.
All 509 in New Jersey → Every provider in Edison → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Andrew Freedman, MDEdison, NJ 088171598766743
- David Fischler, MDEast Brunswick, NJ 088161275622540
- Tricia Gilbert, MDEast Brunswick, NJ 088161720177090
- Andrea Harangozo, MDEast Brunswick, NJ 088161982793253
- Douglas Hutt, MDEast Brunswick, NJ 088161457440729
- Donna Klitzman, MDEast Brunswick, NJ 088161295824563
- Philip Mach, M.D., F.C.C.P.East Brunswick, NJ 088161770562993
- Rohan Mankikar, M.D.East Brunswick, NJ 088161851683445
Common questions
What is Hetal Mahendra Patel, M.D.'s NPI number?
Hetal Mahendra Patel, M.D.'s National Provider Identifier (NPI) is 1801190962, issued on Jan 4, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Hetal Mahendra Patel, M.D. located?
The NPPES record lists a practice address at 34 Simpson Ave, Edison, NJ, 08817. Phone: (732) 572-0369. Providers update this record themselves, so call before visiting.
How can I verify Hetal Mahendra Patel, M.D.'s license?
NPPES lists New Jersey license number 25MA09720900, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Hetal Mahendra Patel, M.D. prescribe under Medicare Part D?
In 2024, Hetal Mahendra Patel, M.D. had 1,006 Medicare Part D claims for 190 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Hetal Mahendra Patel, M.D.'s MIPS final score?
The 2023 MIPS final score is 89 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.