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PALAKKUMMAR GANPATBHAI PATEL M.D.,
NPI 1013440551
Internal Medicine - Pulmonary Disease in Trenton, NJ

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment
2312 WHITEHORSE MERCERVILLE RD STE 105, TRENTON, NJ 08619(609) 586-7400(609) 586-7656 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, Apr 26, 2024, Apr 2, 2021 and 1 more (4 updates tracked since 2017).

About Palakkummar Ganpatbhai Patel M.d., NPPES

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

PALAKKUMMAR GANPATBHAI PATEL M.D., (NPI 1013440551) is an individual pulmonary disease provider in Trenton, New Jersey, licensed in New Jersey (25MA12100600) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1013440551
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NamePALAKKUMMAR GANPATBHAI PATELCredential: M.D.,
Location Address2312 WHITEHORSE MERCERVILLE RD STE 105Trenton, NJ 08619-1953
Mailing Address379 Campus Dr Fl 4Somerset, NJ 08873-1161 · (732) 937-8939 · Fax (732) 418-8372
Phone(609) 586-7400
Fax(609) 586-7656
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 11, 2017
Last NPPES UpdateMay 7, 20244 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1013440551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NJ · 25MA12100600
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA12100600 (NJ)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 25MA12100600 (NJ)
2312 WHITEHORSE MERCERVILLE RD STE 105, Trenton, NJ 08619
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Secondary Practice Locations 4

Location 12201 Hempstead TpkeEast Meadow, NY 11554-1859 · Phone (516) 296-2388 · Fax (516) 572-8781
Location 22242 W Harrison StChicago, IL 60612-3719 · Phone (877) 766-6984
Location 31701 W Charleston Blvd Ste 230Las Vegas, NV 89102-2312 · Phone (702) 660-8658 · Fax (702) 671-2376
Location 41 Hamilton Health PlHamilton, NJ 08690-3542 · Phone (609) 586-7900 · Fax (732) 923-2272

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

Palakkummar Ganpatbhai 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 ID6406193838
PECOS Enrollment IDI20240510001461
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 9

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 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.
154 services59 patients
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.
99 services43 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services48 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.
36 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08619 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.

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 Palakkummar Patel's NPI number?

The NPI number for Palakkummar Patel is 1013440551. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Palakkummar Patel located?

Palakkummar Patel practices at 2312 Whitehorse Mercerville Rd Ste 105, Trenton, NJ 08619. The listed phone number is (609) 586-7400.

What is Palakkummar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Palakkummar Patel enrolled in Medicare?

Yes. Palakkummar 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.

Is Palakkummar Patel affiliated with any hospitals?

According to CMS data, Palakkummar Patel is affiliated with Robert Wood Johnson University Hospital and Robert Wood Johnson University Hospital At Hamilton.

When was this NPI record last updated?

The NPPES record for Palakkummar Patel was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.