Individual provider Active NPI

Bhupendra M Patel, MD

  • Diagnostic Radiology Physician
  • Hamiton Towenship, NJ
National Provider Identifier
1326047655
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA05243300 Issued in NJ
Practice address
Rai
2501 Kuser Road
Hamiton Towenship, NJ 08691
Phone
(609) 585-8800
NPI assigned
Jul 19, 2005
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME164633 FL
Diagnostic Radiology Physician 2085R0202X MD164633 FL
Diagnostic Radiology Physician 2085R0202X 25MA05243300 NJ Primary

Addresses

Primary practice location

Rai
2501 Kuser Road
Hamiton Towenship, NJ 08691

Mailing address

8375 Dix Ellis TRL Ste 201
Jacksonville, FL 32256-8241
Phone (877) 276-9842

Other identifiers 7

IdentifierTypeStateIssuer
PA182757OtherHIGHMARK PA BLUE SHIELD
1156587OtherHORIZON NJ HEALTH
A3738029OtherOXFORD HEALTH
0229318000OtherAMERIHEALTH
2653639OtherAETNA
300124858OtherRAILROAD MEDICARE
3717500MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20031124000064 PA Practitioner - Diagnostic Radiology 5698679470 Reassigns benefits to 3 organizations
I20041116000295 NJ Practitioner - Diagnostic Radiology 5698679470 Reassigns benefits to 4 organizations
I20230112002584 WA Practitioner - Diagnostic Radiology 5698679470 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1976
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Affiliates of Central New Jersey PCGroup PAC ID 1759277239, 129 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Princeton Radiology Associates PAGroup PAC ID 8022003367, 57 clinicians

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (609) 585-8800

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 710-2181

17 Tonnelier Way
Denville, NJ 07834-9615
Phone (855) 504-4544

18 Stonelea Dr
West Windsor, NJ 08550-1908
Phone (855) 504-4544

2501 Kuser Rd
Robbinsville, NJ 08691-3386
Phone (609) 585-8800

2516 65TH PL SE
Mercer Island, WA 98040-2504
Phone (609) 585-8800

3120 Princeton Pike
FL 1a
Lawrenceville, NJ 08648-2325
Phone (609) 585-8800

419 N Harrison St
Princeton, NJ 08540-3521
Phone 73282155631242

4817 Morris Ave S
Unit Tt101
Renton, WA 98055-8391
Phone (609) 585-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD164633FLMDDiagnostic Radiology Physician
ME164633FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Radiology Associates, P.a. Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Mar 12, 2024 Accepting new patients
Jefferson Radiology, PC Diagnostic Radiology CurrentSince Nov 19, 2024 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Bucks County Radiology Associates, PC Diagnostic Radiology Past Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients
Mercy Diagnostic Imaging PC Diagnostic Radiology Past Accepting new patients
MRI Professionals Inc. Diagnostic Radiology Past Accepting new patients
Orange Community MRI Past Accepting new patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients

Locations

8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

419 N Harrison St
Princeton, NJ 08540
Phone (609) 921-9437

2501 Kuser Rd
Trenton, NJ 08691
Phone (609) 587-4777

601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

13333 Northwest Fwy
Ste 540
Houston, TX 77040
Phone (281) 962-3608

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1326047655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8375 DIX ELLIS TRL STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568241",
            "telephone_number": "877-276-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RAI",
            "address_2": "2501 KUSER ROAD",
            "city": "HAMITON TOWENSHIP",
            "state": "NJ",
            "postal_code": "08691",
            "telephone_number": "609-585-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHUPENDRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME164633",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "MD164633",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA05243300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PA BLUE SHIELD",
            "identifier": "PA182757",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1156587",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "A3738029",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0229318000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2653639",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300124858",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3717500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.