DR. TUSHARKUMAR N MISTRY MD
NPI 1053302976
Internal Medicine in Englishtown, NJ
About Dr. Tusharkumar N Mistry Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TUSHARKUMAR N MISTRY MD (NPI 1053302976) is an individual internal medicine provider in Englishtown, New Jersey, licensed in New Jersey (25MA07930800) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted 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. Tusharkumar N Mistry 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.
Medicare Billing Reassignment
Medicare enrollment records show Tusharkumar Mistry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Englishtown, NJ 07726
- Reassigned Medicare billing, New Jersey enrollment
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Raritan Bay Medical Center
Acute Care Hospitals · Perth Amboy, NJJersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJJfk Medical Center
Acute Care Hospitals · Edison, NJCentrastate Medical Center
Acute Care Hospitals · Freehold, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07726 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tusharkumar Mistry's NPI number?
The NPI number for Tusharkumar Mistry is 1053302976. It was assigned to this individual provider in the NPPES registry on October 31, 2005.
Where is Tusharkumar Mistry located?
Tusharkumar Mistry practices at 8 County Road 520 Ste A, Englishtown, NJ 07726. The listed phone number is (732) 679-4200.
What is Tusharkumar Mistry's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Tusharkumar Mistry enrolled in Medicare?
Yes. Tusharkumar Mistry 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 Tusharkumar Mistry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tusharkumar Mistry reassigns Medicare benefits to Tusharkumar N Mistry MD LLC (Englishtown, 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 Tusharkumar Mistry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tusharkumar Mistry accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Tusharkumar Mistry 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 Tusharkumar Mistry affiliated with any hospitals?
According to CMS data, Tusharkumar Mistry is affiliated with Raritan Bay Medical Center, Jersey Shore University Medical Center, Jfk Medical Center and Centrastate Medical Center.
When was this NPI record last updated?
The NPPES record for Tusharkumar Mistry was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Tusharkumar N Mistry, MD · NPI 1053302976
Internal Medicine physician in Englishtown, New Jersey. Individual provider, active in the CMS NPPES registry since October 31, 2005.
## Identity
- **NPI:** 1053302976 (Entity type: Individual)
- **Enumerated:** October 31, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MA07930800 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8 COUNTY ROAD 520 STE A, Englishtown, NJ 07726-8478
- **Phone:** (732) 679-4200 · **Fax:** (732) 851-4532
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tusharkumar N Mistry MD LLC (NPI 1114106176, Englishtown, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** October 4, 2023
- **Other identifiers:** Medicaid 0075850 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1053302976) · Data from the CMS NPPES public registry.