Hiren Ghanshyambhai Patel, M.D.
Internal Medicine Physician · Paterson, NJ
Hiren Ghanshyambhai Patel, M.D. is an internal medicine physician with a practice address in Paterson, New Jersey, and NPI 1316202823, issued on Jul 10, 2012. Check the license on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Hiren Ghanshyambhai Patel
- Credential
- M.D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- MD.36944 AL
Self-reported in NPPES; status is on the state search - Practice location
- 703 Main St, Paterson, NJ 07503
- Phone
- (973) 754-2431
- Enumerated
- Jul 10, 2012
- Record last updated
- Jul 2, 2018 (not updated in 8 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20181016003293); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 4,632 in New Jersey → Look up another NPI →
Also registered at 703 Main St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Hiren Ghanshyambhai Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical ExaminersCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
68% fewer Medicare Part D claims than the average internal medicine physician in 2024
1,022 Medicare Part D claims for 373 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 25% of claims.
Most prescribed
- Pantoprazole Sodium332 claims
- Gavilyte-G59 claims
- Esomeprazole Magnesium54 claims
- Famotidine52 claims
- Linzess48 claims
- Plenvu48 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 MIPS final score for 2023 (Medicare payment program): 67.8 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $2,553.13
125 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 50,334 providers of this specialty with any payment received $1,303.06 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
- Jackson Hospital And Clinic, IncMontgomery, AL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Hiren Ghanshyambhai Patel among 4,632 internal medicine physician records in New Jersey
Hiren Ghanshyambhai Patel, M.D. is one of 4,632 internal medicine physician records with a practice address in New Jersey. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 70% of them.
- NPI issued2012 · 70% of these records are older, 28% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated2010 · median 2000 among the 3,132 with a school on file
- Record last updated2018 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
66 internal medicine physician records list a practice address in Paterson
They are 66 of the 1,474 NPPES records with a practice address in Paterson, and 4,632 internal medicine physician records in New Jersey.
All 4,632 in New Jersey → Every provider in Paterson → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Michael Agnelli, M.D.Paterson, NJ 075031548503451
- Mahmoud Aqel, MDPaterson, NJ 075031821067786
- Reetuparna BhattacharjeePaterson, NJ 075031700269461
- Maggie Hanna, M.D.Paterson, NJ 075031396124871
- Tawfiq KaradshehPaterson, NJ 075031629487707
- Samara Khatib, MDPaterson, NJ 075031366754152
- Shevani MahindraPaterson, NJ 075031831504398
- Patrick Michael, M.D.Paterson, NJ 075031235426263
Common questions
What is Hiren Ghanshyambhai Patel, M.D.'s NPI number?
Hiren Ghanshyambhai Patel, M.D.'s National Provider Identifier (NPI) is 1316202823, issued on Jul 10, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Hiren Ghanshyambhai Patel, M.D. located?
The NPPES record lists a practice address at 703 Main St, Paterson, NJ, 07503. Phone: (973) 754-2431. Providers update this record themselves, so call before visiting.
How can I verify Hiren Ghanshyambhai Patel, M.D.'s license?
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 Hiren Ghanshyambhai Patel, M.D. prescribe under Medicare Part D?
In 2024, Hiren Ghanshyambhai Patel, M.D. had 1,022 Medicare Part D claims for 373 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Hiren Ghanshyambhai Patel, M.D.'s MIPS final score?
The 2023 MIPS final score is 67.8 of 100. 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.