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MEGHAVI J PATEL M.D.
NPI 1013440247
Internal Medicine in Manahawkin, NJ

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1140 ROUTE 72 W, MANAHAWKIN, NJ 08050(609) 597-6011 Get Directions Write a Review

NPPES record last updated: September 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Meghavi J Patel M.d. NPPES

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

MEGHAVI J PATEL M.D. (NPI 1013440247) is an individual internal medicine provider in Manahawkin, New Jersey, licensed in New Jersey (25MA11060000) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1013440247
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMEGHAVI J PATELCredential: M.D.
Location Address1140 ROUTE 72 WManahawkin, NJ 08050-2412
Mailing Address1140 Route 72 WManahawkin, NJ 08050-2412
Phone(609) 597-6011
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 5, 2017
Last NPPES UpdateSeptember 26, 2021
NPPES CertifiedSeptember 26, 2021
✔ NPI 1013440247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NJ · 25MA11060000✔ Licensed in TX · S7931
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1140 ROUTE 72 W, Manahawkin, NJ 08050
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Meghavi J Patel M.d. 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 ID6901145739
PECOS Enrollment IDI20210623002180, I20250731004456
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
255 services138 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
189 services118 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
58 services58 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
23 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08050 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.23
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier57 claims57 services$61.32 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier56 claims56 services$29.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEIRDRE A DAVIS C.R.N.A.
Nurse Anesthetist, Certified Registered
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6011
NELLY HUPPERT MD
Radiology (Radiation Oncology)
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6011
MERIDIAN HEALTH
Psychiatric Unit
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6011
MYINT THIN OO MD
Internal Medicine
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6011
MYRIAD EMERGENCY PHYSICIANS LLC
Emergency Medicine
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (469) 401-2386
DR. LEONID IGOREVICH BURUNCHENKO MD
Emergency Medicine
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6011
DR. ADAM LARRY LAZARUS MD
Emergency Medicine
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 978-8900
SOUTHERN OCEAN COUNTY HOSPITAL
Skilled Nursing Facility
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 978-3373

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 Meghavi Patel's NPI number?

The NPI number for Meghavi Patel is 1013440247. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Meghavi Patel located?

Meghavi Patel practices at 1140 Route 72 W, Manahawkin, NJ 08050. The listed phone number is (609) 597-6011.

What is Meghavi Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Meghavi Patel enrolled in Medicare?

Yes. Meghavi 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.

What insurance does Meghavi Patel accept?

Health plans from Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Meghavi 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 Meghavi Patel affiliated with any hospitals?

According to CMS data, Meghavi Patel is affiliated with Jfk Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Meghavi Patel was last updated on September 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.