Individual provider Active NPI

Killol Patel, M.D.

  • Pulmonary Disease Physician
  • Englewood, NJ
National Provider Identifier
1467743286
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA09001800 Issued in NJ
Practice address
180 Engle St
Englewood, NJ 07631-2507
Phone
(201) 567-2050
NPI assigned
Apr 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 25MA09001800 NJ Primary

Addresses

Primary practice location

180 Engle St
Englewood, NJ 07631-2507

Mailing address

180 Engle St
Englewood, NJ 07631-2507
Phone (201) 567-2050

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
I20120410000211 NJ Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4486815966 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

102 James St
Suite 202
Edison, NJ 08820-3970
Phone (732) 744-5550

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 30, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 30, 2023 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Jul 1, 2015 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Feb 23, 2019 Accepting new patients
St. Luke'S Warren Physician Group, PC Pulmonary Disease CurrentSince Jan 6, 2018 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Feb 23, 2019 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Jan 6, 2018 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

80 James St
Fl 2
Edison, NJ 08820
Phone (732) 635-9300

102 James St
Ste 202
Edison, NJ 08820
Phone (732) 548-5541

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

301 Bridge Plz N
Ste 3
Fort Lee, NJ 07024
Phone (848) 308-4690

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

972 State Route 36
Hazlet, NJ 07730
Phone (732) 747-3666

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

Interoperability endpoints

  • Direct secure messaging: kpatel236769@direct.englewoodhealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 9

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": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1467743286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312507",
            "telephone_number": "201-567-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312507",
            "telephone_number": "201-567-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KILLOL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA09001800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.