Individual provider Active NPI

Shodhan Patel, MD

  • Internal Medicine Physician
  • Trenton, NJ
National Provider Identifier
1457368680
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA06665200 Issued in NJ
Practice address
1450 Parkside Ave
5
Trenton, NJ 08638
Phone
(609) 771-1881
Fax
(609) 538-0177
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA06665200 NJ Primary

Addresses

Primary practice location

1450 Parkside Ave
5
Trenton, NJ 08638

Mailing address

1450 Parkside Ave
5
Trenton, NJ 08638
Phone (609) 771-1881

Other identifiers 4

IdentifierTypeStateIssuer
MI000053103OtherAMERICHOICE
0468023000OtherKEYSTONE
P2552484OtherOXFORD
7442408MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shodhan.patel.1@12833.direct.athenahealth.com

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
I20050503000442 NJ Practitioner - Internal Medicine 4082653639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4244

51 Scotch Rd
Ewing, NJ 08628-2512
Phone (609) 883-5454

Hospital & facility affiliations

  • Mercer Care Home health agency, Bordentown, NJ, CCN 317062
  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
  • Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092
  • Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110
  • Trenton Gardens Rehabilitation and Nursing Center Nursing home, Trenton, NJ, CCN 315324

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA06665200NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group Internal Medicine CurrentSince Aug 24, 2018 Accepting new patients
Capital Health Multispecialty Group Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
LLMD Associates LLC Past Accepting new patients

Locations

1450 Parkside Ave
Ste 5
Ewing, NJ 08638
Phone (609) 771-1881

51 Scotch Rd
Ewing, NJ 08628
Phone (609) 883-5454

1700 Nottingham Way
Ste 108
Hamilton, NJ 08619
Phone (609) 303-4870

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

40 Fuld St
Ste 305
Trenton, NJ 08638
Phone (609) 394-6338

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

512 Union St
Trenton, NJ 08611
Phone (609) 393-8622

Interoperability endpoints

  • Direct secure messaging: shodhan.patel.1@12833.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Trenton Gardens Rehabilitation and Nursing CenterTrenton, NJ, CCN 315324 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 25, 2024
Jul 25, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1457368680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 PARKSIDE AVE",
            "address_2": "5",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08638",
            "telephone_number": "609-771-1881",
            "fax_number": "609-538-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 PARKSIDE AVE",
            "address_2": "5",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08638",
            "telephone_number": "609-771-1881",
            "fax_number": "609-538-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHODHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA06665200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "MI000053103",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0468023000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2552484",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7442408",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shodhan.patel.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1450 PARKSIDE AVE",
            "address_2": "5",
            "city": "TRENTON",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.