Individual provider Active NPI

Pankaj V Patel, MD

  • Internal Medicine Physician
  • Edison, NJ
National Provider Identifier
1982614400
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA068894 Issued in NJ
Practice address
1920 Oak Tree Rd Ste 201
Edison, NJ 08820-2132
Phone
(732) 516-1244
Fax
(732) 516-1255
NPI assigned
Aug 8, 2006
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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 MA068894 NJ Primary

Addresses

Primary practice location

1920 Oak Tree Rd Ste 201
Edison, NJ 08820-2132

Mailing address

1920 Oak Tree Rd Ste 201
Edison, NJ 08820-2132
Phone (732) 516-1244

Other identifiers 1

IdentifierTypeStateIssuer
8563802MedicaidNJ

Other names 1

  • Pankajkumar V Patel Other name

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
I20090331000201 NJ Practitioner - Internal Medicine 0941367247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1920 Oak Tree Rd
Suite 201
Edison, NJ 08820-2132
Phone (732) 516-1244

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.33 of 100Reported as individual
Quality
93.07
Promoting interoperability
97
Improvement activities
40
Cost
80.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA068894NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Tree Patient Care PC Internal Medicine CurrentSince Jan 1, 2009 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Neha Shah MD LLC Internal Medicine Past Accepting new patients
Catskill Regional Medical Center Internal Medicine Past Accepting new patients

Locations

1920 Oak Tree Rd
Ste 201
Edison, NJ 08820
Phone (732) 516-1244

1941 Oak Tree Rd
Ste 203
Edison, NJ 08820
Phone (732) 516-0707

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAHBBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GAHBBD/Endpoint/GAHBBD
  • Direct secure messaging: pankaj.patel@otpc.eclinicaldirectplus.com

Organizations & group practices 4

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1982614400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 OAK TREE RD STE 201",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202132",
            "telephone_number": "732-516-1244",
            "fax_number": "732-516-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 OAK TREE RD STE 201",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202132",
            "telephone_number": "732-516-1244",
            "fax_number": "732-516-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PANKAJ",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA068894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8563802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PANKAJKUMAR",
            "last_name": "PATEL",
            "middle_name": "V",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.