Active NPI 1790729879 Individual Practitioner Male Practitioner

Dr. Hetal C Joshi , MD

Emergency Medicine • Edison, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Hetal Joshi, MD is a certified Emergency Medicine practicing in Edison, NJ. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Joshi delivers high-quality medical care to the local community at 65 JAMES ST.

Dr. Joshi is affiliated with Middlesex Emergency Physicians, P.A. and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

65 James St

Edison, NJ 088203947

Telephone 7323217605

Associated Practice Facility / Clinic

🏢 Mid-State Radiation Oncology Associates, P. A. Facility NPI 1104872290

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Edison, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +12.5 yrs vs City Avg

City Avg: 18.5 Yrs

State Avg: 22.5 Yrs

Regional Practice Density

24 Specialists

Practicing in Edison, NJ (1807 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Joshi (31 Years) 31 Yrs

Edison Specialty Average (18.5 Years) 18.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	553	533	$1755.20	$183.04
99284 Emergency department visit with moderate level of medical decision making	102	101	$1219.45	$126.38
99291 Critical care, first 30-74 minutes	48	48	$1945.00	$223.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	599	574	$1703.87	$186.07
99284 Emergency department visit with moderate level of medical decision making	121	117	$1185.31	$127.99
99291 Critical care, first 30-74 minutes	84	84	$1890.04	$227.46
99283 Emergency department visit with low level of medical decision making	19	19	$764.00	$76.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	583	549	$1653.09	$189.85
99284 Emergency department visit with moderate level of medical decision making	82	81	$1149.83	$131.12
99291 Critical care, first 30-74 minutes	74	74	$1801.65	$235.58
99283 Emergency department visit with low level of medical decision making	28	28	$739.21	$77.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	651	616	$1651.64	$193.93
99291 Critical care, first 30-74 minutes	98	97	$1798.00	$240.00
99284 Emergency department visit with moderate level of medical decision making	78	78	$1149.00	$133.08
99283 Emergency department visit with low level of medical decision making	27	27	$742.00	$78.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	544	524	$1651.36	$186.25
99284 Emergency department visit with moderate level of medical decision making	95	89	$1149.00	$127.38
99291 Critical care, first 30-74 minutes	60	60	$1798.00	$241.75
99283 Emergency department visit with low level of medical decision making	20	20	$726.24	$69.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	733	684	$1575.16	$183.04
99284 Emergency department visit with moderate level of medical decision making	135	130	$1095.22	$124.65
99291 Critical care, first 30-74 minutes	117	114	$1714.94	$237.53
99283 Emergency department visit with low level of medical decision making	30	30	$707.00	$65.74
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	15	15	$1376.00	$152.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	855	801	$1500.89	$182.27
99284 Emergency department visit with moderate level of medical decision making	171	167	$1044.13	$124.36
99291 Critical care, first 30-74 minutes	132	131	$1634.97	$237.94
99283 Emergency department visit with low level of medical decision making	29	29	$674.17	$65.69
99292 Critical care, each additional 30 minutes	16	14	$819.56	$119.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	838	794	$1428.42	$183.53
99284 Emergency department visit with moderate level of medical decision making	234	230	$997.85	$123.73
99291 Critical care, first 30-74 minutes	160	156	$1552.97	$236.92
99283 Emergency department visit with low level of medical decision making	55	55	$641.00	$65.79
99292 Critical care, each additional 30 minutes	27	22	$778.00	$119.91
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	11	11	$542.36	$48.24

Medical Specialties & State Licenses

CMS Verified: 2023-06-09

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License NJ 25MA08171700

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1014728870002 (PA)

Medicaid State Provider ID

0132772 (NJ)

Commercial Insurance / Payer ID Independence Bc

2637029000 (PA)

Commercial Insurance / Payer ID Highmark Bs

JO1800421 (PA)

Hospital & Practice Group Affiliations

Middlesex Emergency Physicians, P.a.

65 James St, Edison, NJ 088183903

Phone: 7323217000

Secondary Practice Locations

601 Hamilton Ave

Trenton, NJ 086291915

Phone: 6095995210

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Rashmin Hingrajia , MD, MPH

Emergency Medicine

NPI 1225260490

Doctor of Medicine (M.D.), Master of Public Health

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Practice Location September 20, 2018

Registered at 65 JAMES ST, EDISON, NJ 088203947 (Tel: 7323217605)

📍

Updated Business Mailing Address September 20, 2018

Registered at 65 JAMES ST, EDISON, NJ 088203947 (Tel: 7323217605)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2018

Emergency Medicine (License #25MA08171700 in NJ)

✅

NPI Profile Active February 07, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 07, 2017

Registered at 601 HAMILTON AVE, TRENTON, NJ 086291915 (Tel: 6095995210)

📍

Updated Business Mailing Address February 07, 2017

Registered at 412 TIMOTHY DR, FEASTERVILLE TREVOSE, PA 190537331

👤

Provider Name / Credentials Updated February 07, 2017

Recorded as HETAL JOSHI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2017

Internal Medicine (License #25MA08171700 in NJ)

✅

NPI Profile Active April 15, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 15, 2008

Registered at 601 HAMILTON AVE, TRENTON, NJ 086291915 (Tel: 6095995210)

📍

Updated Business Mailing Address April 15, 2008

Registered at 412 TIMOTHY DR, FEASTERVILLE TREVOSE, PA 190537331

👤

Provider Name / Credentials Updated April 15, 2008

Recorded as HETAL JOSHI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2008

Emergency Medicine (License #MD427285 in PA)

🟢

Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790729879

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 16, 2006

Last Update: June 09, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

65 James St

Edison, NJ 088203947

Phone: 7323217605

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.