Individual provider

Hitesh Patel, M.D.

Ophthalmology Physician Medicare enrolled

Hitesh Patel, M.D. is an Ophthalmology Physician in Edison, NJ, registered under NPI 1215959622. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 228 PLAINFIELD AVE, Edison, NJ 08817. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

228 PLAINFIELD AVE, Edison, NJ 08817 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
25MAO6539000 NJ Ophthalmology Physician primary
MD064657L PA Ophthalmology Physician

Licences are recorded in 2 states: NJ, PA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Ophthalmology
PAC ID
3577460948

Medicare enrolment is recorded as approved under the provider type Practitioner - Ophthalmology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: New Jersey and Pennsylvania. The practice address on file is in Edison, NJ, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NJ New Jersey practice address
Licence
25MAO6539000
Specialty
Ophthalmology Physician
Verify with the NJ board →
PA Pennsylvania
Licence
MD064657L
Specialty
Ophthalmology Physician
Verify with the PA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Ophthalmology covers

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. NUCC Health Care Provider Taxonomy, code 207W00000X
Allopathic & Osteopathic Physicians Ophthalmology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207W00000X Ophthalmology Physician 25MAO6539000 NJ primary
207W00000X Ophthalmology Physician MD064657L PA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1215959622 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 24, 2006
Last updatedAug 27, 2013
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address 228 PLAINFIELD AVE
Edison, NJ 08817
(732) 985-5009
Fax (732) 985-5155
Mailing address 2021 TROWBRIDGE DR
Newtown, PA 18940
Other identifiers 0010570 (NJ)
This record was last updated on Aug 27, 2013, roughly 12 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1215959622 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 1 5 9 5 9 6 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 2 5 9 5 9 6 4

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1215959622?
NPI 1215959622 is the National Provider Identifier assigned to Hitesh Patel, M.D. in Edison, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Ophthalmology Physician cover?
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the…
How do I contact Hitesh Patel, M.D.?
The phone number on file with NPPES is (732) 985-5009, last updated Aug 27, 2013. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Hitesh Patel, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1215959622 a valid number?
Yes. 1215959622 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.