DR. ALPESH A PATEL MD
NPI 1043478118
Internal Medicine - Cardiovascular Disease in Bridgewater, NJ

Active since May 27, 2008PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
245 UNION AVE STE 1A, BRIDGEWATER, NJ 08807(908) 864-4027(732) 463-5510 Get Directions Write a Review

NPPES record last updated: August 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alpesh A Patel Md NPPES

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

DR. ALPESH A PATEL MD (NPI 1043478118) is an individual cardiovascular disease provider in Bridgewater, New Jersey, licensed in New Jersey (25MA08429100) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1043478118
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ALPESH A PATELCredential: MD
Location Address245 UNION AVE STE 1ABridgewater, NJ 08807-3064
Mailing Address245 Union Ave, Suite 1aBridgewater, NJ 08807 · (908) 864-4027 · Fax (732) 463-5510
Fax(732) 463-5510
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 27, 2008
Last NPPES UpdateAugust 24, 2017
NPI 1043478118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in NJ · 25MA08429100 Licensed in PA · MD450469
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
245 UNION AVE STE 1A, Bridgewater, NJ 08807

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

Dr. Alpesh A 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 ID4789712589
PECOS Enrollment IDI20130926000093
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 27

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 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.
542 services279 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
493 services374 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.
436 services175 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
417 services293 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.
360 services184 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.
130 services122 patients

Hospital Affiliations CMS Care Compare 3

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

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 - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08807 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Podiatrist (Foot & Ankle Surgery)
245 UNION AVE STE 1A
BRIDGEWATER, NJ 08807
Clinic/Center (Multi-Specialty)
245 UNION AVE STE 1A
BRIDGEWATER, NJ 08807
Physician Assistant
245 UNION AVE STE 1A
BRIDGEWATER, NJ 08807
Physician Assistant
245 UNION AVE STE 1A
BRIDGEWATER, NJ 08807

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 Alpesh Patel's NPI number?

The NPI number for Alpesh Patel is 1043478118. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Where is Alpesh Patel located?

Alpesh Patel practices at 245 Union Ave Ste 1A, Bridgewater, NJ 08807. The listed phone number is (908) 864-4027.

What is Alpesh Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Alpesh Patel enrolled in Medicare?

Yes. Alpesh 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 Alpesh Patel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Alpesh 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 Alpesh Patel affiliated with any hospitals?

According to CMS data, Alpesh Patel is affiliated with Morristown Medical Center, Robert Wood Johnson University Hospital and Robert Wood Johnson University Hospital - Somerset.

When was this NPI record last updated?

The NPPES record for Alpesh Patel was last updated on August 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.