Individual provider Active NPI

Indravadan T Patel, MD

  • Internal Medicine Physician
  • Edison, NJ
National Provider Identifier
1922032879
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05317400 Issued in NJ
Practice address
2060 Oaktree Rd
Edison, NJ 08820
Phone
(732) 548-6080
Fax
(732) 744-0796
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 25MA05317400 NJ Primary

Addresses

Primary practice location

2060 Oaktree Rd
Edison, NJ 08820

Mailing address

2060 Oaktree Rd
Edison, NJ 08820
Phone (732) 548-6080

Other identifiers 1

IdentifierTypeStateIssuer
4986300MedicaidNJ

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
I20050201000567 NJ Practitioner - Internal Medicine 9537110150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indravadan T Patel MD PAGroup PAC ID 2668531815, 2 clinicians

Practice addresses (Care Compare)

3086 Route 27
Suite 1
Kendall Park, NJ 08824
Phone (732) 422-4300

Hospital & facility affiliations

  • Hackensack Meridian JFK at Home Home health agency, Iselin, NJ, CCN 317059
  • Bayada Home Health Care, Inc. Home health agency, Cranford, NJ, CCN 317020
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indravadan T Patel MD PA Internal Medicine CurrentSince Dec 31, 1990 Accepting new patients
Robert Wood Johnson University Hospital, Inc Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

2060 Oak Tree Rd
Edison, NJ 08820
Phone (732) 548-6080

3086 State Route 27
Ste 1
Kendall Park, NJ 08824
Phone (732) 422-4300

69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250

Interoperability endpoints

  • Direct secure messaging: indravadan.patel@indravadantpatelmdpa.ehi.direct-ci.com

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922032879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 OAKTREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-548-6080",
            "fax_number": "732-744-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 OAKTREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-548-6080",
            "fax_number": "732-744-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "INDRAVADAN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05317400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4986300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.