Individual provider Active NPI

Kavan Girishbhai Patel, M.D.

  • Gastroenterology Physician
  • Toms River, NJ
National Provider Identifier
1437541406
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA10103400 Issued in NJ
Practice address
425 Lakehurst Rd
Toms River, NJ 08755
Phone
(732) 281-1590
NPI assigned
Feb 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD-49075 IA
Gastroenterology Physician 207RG0100X 036153355 IL
Gastroenterology Physician 207RG0100X MA10103400 NJ Primary

Addresses

Primary practice location

425 Lakehurst Rd
Toms River, NJ 08755

Mailing address

425 Lakehurst Rd
Toms River, NJ 08755-7378
Phone (732) 281-1590

Other practice location 1

425 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

Other practice location 2

404 Lincoln Dr
Herrin, IL 62948-3789
Phone (618) 993-0056

Other practice location 3

1015 S Hackett Rd
Waterloo, IA 50701-3543
Phone (319) 234-5990

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kpatel40189@sih.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, IL, IA, NY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20180622000499 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 2769737337 Reassigns benefits to 1 organization
I20200818001324 IL Practitioner - Gastroenterology 2769737337 Reassigns benefits to 1 organization
I20211104001561 IA Practitioner - GastroenterologyPractitioner - Internal Medicine 2769737337 Reassigns benefits to 9 organizations
I20220919000989 NY Practitioner - Gastroenterology 2769737337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
New Gi PCGroup PAC ID 2567930985, 22 clinicians
Allen Memorial Hospital CorporationGroup PAC ID 4284546045, 149 clinicians
Southern Illinois Medical Services NFPGroup PAC ID 3678677390, 331 clinicians

Practice addresses (Care Compare)

1015 S Hackett Rd
Waterloo, IA 50701-3500
Phone (319) 234-5990

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3913

404 Lincoln Dr
Herrin, IL 62948-3789
Phone (618) 993-0056

Hospital & facility affiliations

  • Allen Hospital Hospital, Waterloo, IA, CCN 160110
  • Herrin Hospital Hospital, Herrin, IL, CCN 140011
  • Community Memorial Hospital Medical Center Hospital, Sumner, IA, CCN 161320
  • Trinity Regional Medical Center Hospital, Fort Dodge, IA, CCN 160016
  • Humboldt County Memorial Hospital Hospital, Humboldt, IA, CCN 161334

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy118
Upper gastrointestinal (GI) endoscopy for acid reflux167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-49075IAMDGastroenterology Physician
036153355ILMDGastroenterology Physician
MA10103400NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Memorial Hospital Corporation CurrentSince Sep 1, 2024 Accepting new patients
Sumner Community Club CurrentSince Dec 3, 2023 Accepting new patients
Cedar Valley Medical Specialists PC Gastroenterology CurrentSince Jul 1, 2022 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Jul 24, 2020 Accepting new patients
Amboy Medical Practice PC CurrentSince Jun 22, 2022 Accepting new patients
Waverly Health Center Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Gastroenterology CurrentSince Jul 18, 2025 Accepting new patients
Waverly Health Center CurrentSince Dec 30, 2023 Accepting new patients
Ellis Hospital CurrentSince May 24, 2022 Accepting new patients
Sumner Community Club CurrentSince Dec 3, 2023 Accepting new patients
Trinity Regional Medical Center CurrentSince Oct 25, 2021 Accepting new patients
Ocean Family Gastroenterology PC Gastroenterology CurrentSince Jul 16, 2018 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Allen Memorial Hospital Corporation Current Accepting new patients
Waverly Health Center CurrentSince Dec 30, 2023 Accepting new patients
Amboy Medical Practice PC CurrentSince Jun 22, 2022 Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince Jul 1, 2022 Accepting new patients
Cedar Valley Medical Specialists PC Past Accepting new patients
Allen Memorial Hospital Corporation Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

1515 Delhi St
Ste 100
Dubuque, IA 52001
Phone (319) 557-9111

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

909 W 1st St
Sumner, IA 50674
Phone (563) 578-3275

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

1015 S Hackett Rd
Waterloo, IA 50701
Phone (319) 234-5990

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120

312 9th St SW
Ste 3000
Waverly, IA 50677
Phone (319) 352-8891

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

404 Lincoln Dr
Herrin, IL 62948
Phone (618) 993-0056

425 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

360 Bard Ave
Lowr
Staten Island, NY 10310
Phone (718) 818-2186

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: kpatel40189@sih.direct-ci.com
  • Direct secure messaging: kavan.patel@cvms.eclinicaldirectplus.com
  • Direct secure messaging: kpatel843671@direct.unitypoint.org
  • Direct secure messaging: kavan.patel.1@19656.direct.athenahealth.com

Organizations & group practices 21

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.

View all 21

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": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1437541406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LAKEHURST RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087557378",
            "telephone_number": "732-281-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LAKEHURST RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-281-1590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Lakehurst Rd",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "08755",
            "country_code": "US",
            "telephone_number": "732-281-1590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 Lincoln Dr",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483789",
            "country_code": "US",
            "telephone_number": "618-993-0056",
            "fax_number": "618-993-0752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 S Hackett Rd",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507013543",
            "country_code": "US",
            "telephone_number": "319-234-5990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KAVAN",
        "middle_name": "GIRISHBHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-26",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "MD-49075",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036153355",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA10103400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpatel40189@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "404 Lincoln Dr",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.