Individual provider Active NPI

Jitha Rai-Patel, MD

  • Gastroenterology Physician
  • Lumberton, NJ
National Provider Identifier
1023053402
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA09629800 Issued in NJ
Practice address
693 Main St Building a Ste 2
Lumberton, NJ 08048-5043
Phone
(609) 265-1700
Fax
(609) 265-8146
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 24MA09629800 NJ
Specialist 174400000X
Internal Medicine Physician 207R00000X MD428142 PA
Gastroenterology Physician 207RG0100X MD428142 PA
Gastroenterology Physician 207RG0100X 25MA09629800 NJ Primary

Addresses

Primary practice location

693 Main St Building a Ste 2
Lumberton, NJ 08048-5043

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (609) 265-1700

Other practice location 1

175 Madison Ave Uppr Level
Mount Holly, NJ 08060-2038
Phone (609) 265-1700

Other identifiers 3

IdentifierTypeStateIssuer
0496626MedicaidNJ
232359401OtherPAMAIN LINE HEALTHCARE
1018468980002MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jrai19346@directvirtua.org
Direct Messaging Address jrai19346@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150423000996 NJ Practitioner - Gastroenterology 9830102342 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

175 Madison Ave
Mount Holly, NJ 08060-2038

218 Sunset Rd
FL 5
Willingboro, NJ 08046-1110
Phone (609) 444-0359

3242 Route 206
Bordentown, NJ 08505-4517

693 Main St
Suite D
Lumberton, NJ 08048-5043
Phone (609) 261-7600

Hospital & facility affiliations

  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029

Merit-based Incentive Payment System (MIPS)

Final score
95.33 of 100Reported as group
Quality
96.63
Promoting interoperability
99
Improvement activities
40
Cost
81.81

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy74
Upper gastrointestinal (GI) endoscopy for acid reflux105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24MA09629800NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Consultants of South Jersey PC Specialist CurrentSince May 1, 2015 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center Specialist CurrentSince May 1, 2015 Accepting new patients
Virtua Medical Group, PA Internal Medicine Current Accepting new patients
Virtua Medical Group, PA CurrentSince Apr 1, 2018 Accepting new patients
Kennedy Medical Group Practice, P.C. Internal Medicine Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

693 Main St
Ste A
Lumberton, NJ 08048

693 Main St
Ste A
Lumberton, NJ 08048
Phone (609) 261-8200

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

175 Madison Ave
Uppr
Mount Holly, NJ 08060
Phone (609) 265-1700

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1023053402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "609-265-1700",
            "fax_number": "609-265-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 MAIN ST BUILDING A STE 2",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080485043",
            "telephone_number": "609-265-1700",
            "fax_number": "609-265-8146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Madison Ave Uppr Level",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080602038",
            "country_code": "US",
            "telephone_number": "609-265-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAI-PATEL",
        "first_name": "JITHA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "24MA09629800",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD428142",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD428142",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA09629800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0496626",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAIN LINE HEALTHCARE",
            "identifier": "232359401",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018468980002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrai19346@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Madison Ave Uppr Level",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080602038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrai19346@directvirtua.org",
            "affiliation": "N",
            "address_1": "693 Main St Building A Ste 2",
            "city": "Lumberton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080485043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lumberton, NJ

Sources for this page

Verify at the official NPI Registry.