MS. JITHA RAI-PATEL MD
NPI 1023053402
Internal Medicine - Gastroenterology in Lumberton, NJ

Active since June 18, 2006PECOS EnrolledAccepts Medicare Assignment
95.3/100
CMS Quality Rating
693 MAIN ST BUILDING A STE 2, LUMBERTON, NJ 08048(609) 265-1700(609) 265-8146 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2024, Oct 8, 2024, Oct 22, 2020 and 2 more (5 updates tracked since 2016).

About Ms. Jitha Rai-patel Md NPPES

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

MS. JITHA RAI-PATEL MD (NPI 1023053402) is an individual gastroenterology provider in Lumberton, New Jersey, licensed in New Jersey (25MA09629800) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains a secondary practice location in Mount Holly.

NPPES Registry Identity

NPI1023053402
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameMS. JITHA RAI-PATELCredential: MD
Location Address693 MAIN ST BUILDING A STE 2Lumberton, NJ 08048-5043
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (609) 265-1700 · Fax (609) 265-8146
Fax(609) 265-8146
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 18, 2006
Last NPPES UpdateDecember 17, 20245 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
NPI 1023053402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in NJ · 25MA09629800 Licensed in PA · MD428142
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedSpecialistTaxonomy 174400000X · License 24MA09629800 (NJ)
Also ListedInternal MedicineTaxonomy 207R00000X · License MD428142 (PA)
693 MAIN ST BUILDING A STE 2, Lumberton, NJ 08048

Secondary Practice Location 1

Location 1175 Madison Ave Uppr LevelMount Holly, NJ 08060-2038 · Phone (609) 265-1700

Other Identifiers 3

Medicaid0496626NJ
Other232359401PA · Main Line Healthcare
Medicaid1018468980002PA

Accepted 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

Ms. Jitha Rai-patel Md 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 ID9830102342
PECOS Enrollment IDI20150423000996
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 12

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.
275 services153 patients
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.
175 services112 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.
108 services105 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
73 services73 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.
54 services54 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.
53 services53 patients

Hospital Affiliations CMS Care Compare 4

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Virtua Willingboro Hospital

Acute Care Hospitals · Willingboro, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310061
Location218A Sunset RoadWillingboro, NJ 08046 · Burlington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08048 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.

95.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.47
Promoting Interoperability99
Improvement Activities40
Cost82.55

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Gastroenterology)
693 MAIN ST BUILDING A STE 2
LUMBERTON, NJ 08048
Internal Medicine (Gastroenterology)
693 MAIN ST BUILDING A STE 2
LUMBERTON, NJ 08048
Physician Assistant (Medical)
693 MAIN ST BUILDING A STE 2
LUMBERTON, NJ 08048

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 Jitha Rai-patel's NPI number?

The NPI number for Jitha Rai-patel is 1023053402. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Jitha Rai-patel located?

Jitha Rai-patel practices at 693 Main St Building A Ste 2, Lumberton, NJ 08048. The listed phone number is (609) 265-1700.

What is Jitha Rai-patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jitha Rai-patel enrolled in Medicare?

Yes. Jitha Rai-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 Jitha Rai-patel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jitha Rai-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 Jitha Rai-patel affiliated with any hospitals?

According to CMS data, Jitha Rai-patel is affiliated with West Jersey Hospital, Virtua Our Lady Of Lourdes Hospital, Virtua Mount Holly Hospital and Virtua Willingboro Hospital.

When was this NPI record last updated?

The NPPES record for Jitha Rai-patel was last updated on December 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.