Dr Hiren K Patel, MD - Medicare Family Practice in Opelika, AL

Dr Hiren K Patel, MD is a medicare enrolled "Family Medicine" physician in Opelika, Alabama. He went to University Of South Alabama College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hiren K Patel Md Pc and his current practice location is 1941 1st Ave, Opelika, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 745-3534.

Dr Hiren K Patel is licensed to practice in Alabama (license number 20098) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568481661.

Contact Information

Dr Hiren K Patel, MD
1941 1st Ave,
Opelika, AL 36801-5403
(334) 745-3534
(334) 745-3535

Map and Direction




Physician's Profile

Full NameDr Hiren K Patel
GenderMale
SpecialityFamily Practice
Experience29 Years
Location1941 1st Ave, Opelika, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Hiren K Patel attended and graduated from University Of South Alabama College Of Medicine in 1995
  NPI Data:
  • NPI Number: 1568481661
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 08/15/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8729024187
  • Enrollment ID: I20110105000173

Medical Identifiers

Medical identifiers for Dr Hiren K Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568481661NPI-NPPES
009962140MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20098 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alacare Home Health & HospiceBirmingham, ALHospice
Compassus-auburnAuburn, ALHospice
East Alabama Medical Center And SnfOpelika, ALHospital
Wellstar Kennestone HospitalMarietta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hiren K Patel Md Pc33755897322

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Hiren K Patel allows following entities to bill medicare on his behalf.
Entity NameHiren K Patel Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295844355
PECOS PAC ID: 3375589732
Enrollment ID: O20050707000406

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Hiren K Patel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Hiren K Patel, MD
1941 1st Ave,
Opelika, AL 36801-5403

Ph: (334) 745-3534
Dr Hiren K Patel, MD
1941 1st Ave,
Opelika, AL 36801-5403

Ph: (334) 745-3534

Reviews and Comments


Family Medicine Doctors in Opelika, AL

Martin G Roach, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7667 Al Highway 51 Ste B, Opelika, AL 36804
Phone: 334-737-5557    Fax: 334-727-5646
Mrs. Priya Patel, RN, BSN, FNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Pepperell Pkwy, 2nd Floor (pain Clinic), Opelika, AL 36801
Phone: 334-528-2400    Fax: 334-528-2495
Dr. William Biggers Whatley Iii, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 122 N 20th St, Building 24, Opelika, AL 36801
Phone: 334-745-4646    Fax: 334-745-0633
Jessica Swanson Gentry,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1941 1st Ave, Opelika, AL 36801
Phone: 334-745-3534    Fax: 334-745-3535
Dr. Sunil Kumar Sharma, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 24th St, Opelika, AL 36801
Phone: 334-610-2222    
Dr. John Reed Cooper, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 122 N 20th St Bldg 24, Opelika, AL 36801
Phone: 334-745-4646    Fax: 334-745-0633
Sara Emily Norris, CRNP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2000 Pepperell Pkwy, Opelika, AL 36801
Phone: 334-749-3411    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.