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DR. KRUPA PATEL D.P.M
NPI 1013240357
Podiatrist - Foot & Ankle Surgery in Morris Plains, NJ

Active since September 17, 2009PECOS EnrolledAccepts Medicare Assignment
80.3/100
CMS Quality Rating
19 EDGEFIELD DR, MORRIS PLAINS, NJ 07950(917) 968-8274 Get Directions Write a Review

NPPES record last updated: February 2, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Krupa Patel D.p.m NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KRUPA PATEL D.P.M (NPI 1013240357) is an individual foot & ankle surgery provider in Morris Plains, New Jersey, licensed in New Jersey (IN TRAINING) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of New York College Of Podiatric Medicine (2008).

NPPES Registry Identity

NPI1013240357
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. KRUPA PATELCredential: D.P.M
Location Address19 EDGEFIELD DRMorris Plains, NJ 07950-1967
Mailing Address715 Central AveWestfield, NJ 07090-2540
Phone(917) 968-8274
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2008
Enumeration DateSeptember 17, 2009
Last NPPES UpdateFebruary 2, 2011
✔ NPI 1013240357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NJ · IN TRAINING
19 EDGEFIELD DR, Morris Plains, NJ 07950
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Krupa Patel D.p.m is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951570035
PECOS Enrollment IDI20110805000424
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Krupa Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rwp Enterprises LLC
16 mi
Podiatrist
440 CHESTNUT ST
Union, NJ 07083
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
NPI 1972621605 (908) 232-3346

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
401 services165 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
331 services106 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
143 services60 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
84 services46 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
76 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
68 services68 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality61.5
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

Advance Care Plan
1%338 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
0%575 patients1/55-star benchmark: 88%
Diabetes: Eye Exam
0%113 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
99%113 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
79%2,316 patients3/55-star benchmark: 100%
e-Prescribing
99%197 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%916 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%2,297 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 604 patients
0%604 patients
Provide Patients Electronic Access to Their Health Information
67%554 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%119 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 348 patients
Patients totalRate: 0% · 348 patients
0%348 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krupa Patel's NPI number?

The NPI number for Krupa Patel is 1013240357. It was assigned to this individual provider in the NPPES registry on September 17, 2009.

Where is Krupa Patel located?

Krupa Patel practices at 19 Edgefield Dr, Morris Plains, NJ 07950. The listed phone number is (917) 968-8274.

What is Krupa Patel's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Krupa Patel enrolled in Medicare?

Yes. Krupa Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Krupa Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krupa Patel reassigns Medicare benefits to Rwp Enterprises LLC (Union, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Krupa Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krupa Patel accept?

Health plans from Oscar Health list Krupa Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Krupa Patel affiliated with any hospitals?

According to CMS data, Krupa Patel is affiliated with Morristown Medical Center and Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Krupa Patel was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.