Kartik Patel, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

OS013427 Issued in PA

Practice address

195 Route 46 West
Suite 204
Mine Hill, NJ 07803-3164

Phone

(973) 573-9900

Fax

(973) 537-9901

NPI assigned

Aug 31, 2006

Last updated

Nov 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Ophthalmology

Education

Philadelphia College of Osteopathic Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monmouth Retina Consultants PAGroup PAC ID 2860492170, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.13 of 100Reported as group

Quality

90.26

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kartik.patelmd.p7@direct.grophthalmology.nextgenshare.com

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

• Monmouth Retina Consultants, P.a.

  dba Patel Retina Institute

  • Ophthalmology Physician
  • Little Silver, NJ
  • NPI 1437179942

  PA

  Medicare reassignment Care Compare group NPD
• Vitreous Retina Macula Specialists of NJ

  • Ophthalmology Physician
  • Millburn, NJ
  • NPI 1760788996
  NPD (past)
• Charles a. Garcia, M.D.,P.a.

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1043236938
  NPD (past)
• Garcia & Associates, East Houston P.a.

  • Specialist
  • Houston, TX
  • NPI 1306862230
  NPD (past)
• South Texas Retina Consultants, LLP

  • Retina Specialist (Ophthalmology) Physician
  • Corpus Christi, TX
  • NPI 1548217433
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1093827834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 ROUTE 46 WEST",
            "address_2": "SUITE 204",
            "city": "MINE HILL",
            "state": "NJ",
            "postal_code": "078033164",
            "telephone_number": "973-573-9900",
            "fax_number": "973-537-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 ROUTE 46 WEST",
            "address_2": "SUITE 204",
            "city": "MINE HILL",
            "state": "NJ",
            "postal_code": "078033164",
            "telephone_number": "973-573-9900",
            "fax_number": "973-537-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KARTIK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "OS013427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "506554",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "96779",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10437251",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1766938",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "264087",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "820018",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bright Zibo Nyamekye, M.D.
• Joanne K Olsen, APN
• Dorinda Oppong-Asante, APRN
• Maxine Osselin, LMSW
• Preeta Patankar, PT
• Donald Pauselius, OTR/L
• Kristen Polentarutti, P.A.
• Alicia Marie Pravata, BCBA
• Quality Bracing and Orthotics, LLC
• Andrea Riley, MA CCC-SLP

• Ophthalmology Physician in Mine Hill, NJ
• Providers in Mine Hill, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.