ANOOP PORWAL MD
NPI 1053373613
Physical Medicine & Rehabilitation in Toms River, NJ

Q: What is Anoop Porwal's NPI number?

The NPI number for Anoop Porwal is 1053373613. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Q: What is Anoop Porwal's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Q: When was this NPI record last updated?

The NPPES record for Anoop Porwal was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

20 HOSPITAL DR, SUITE 17A, TOMS RIVER, NJ 08755(732) 557-4444(732) 557-4445 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Anoop Porwal Md NPPES

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

ANOOP PORWAL MD (NPI 1053373613) is an individual physical medicine & rehabilitation provider in Toms River, New Jersey, licensed in New Jersey (25MA07772000) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Monmouth Medical Center-southern Campus, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1053373613

Entity TypeIndividualMale

Primary Taxonomy208100000X

Provider Legal NameANOOP PORWALCredential: MD

Location Address20 HOSPITAL DR, SUITE 17AToms River, NJ 08755-6434

Mailing Address20 Hospital Dr, Suite 17aToms River, NJ 08755-6434 · (732) 557-4444 · Fax (732) 557-4445

Phone(732) 557-4444

Fax(732) 557-4445

Sole ProprietorYes

Medical School CMSOtherGraduated 1989

Enumeration DateApril 6, 2006

Last NPPES UpdateApril 16, 2014

✔ NPI 1053373613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians

Taxonomy Code208100000X

License✔ Licensed in NJ · 25MA07772000

Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

20 HOSPITAL DR, Toms River, NJ 08755

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Other Identifiers 4

Medicare ID-Type Unspecified086375CZGNJ · Medicare Number

Other223373283NJ · Tax Id Number

Other870773444NJ · Tax Id Number

Medicare UPINI22574NJ

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

Anoop Porwal 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 ID9830156397

PECOS Enrollment IDI20041216000024

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 8

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

3,595 services701 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

2,390 services296 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

606 services589 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

107 services104 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

55 services41 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.

52 services34 patients

Hospital Affiliations CMS Care Compare

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

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310084

Location600 River AveLakewood, NJ 08701 · Ocean County

Emergency services

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

Individually scored

Quality

92.48

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%57 patients5/55-star benchmark: 100%

Controlling High Blood Pressure

15%47 patients1/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

100%337 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%107 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

100%83 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 114 patients

Patients totalRate: 0% · 114 patients

0%114 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 56

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers47 claims47 services$37.59 avg. paid by Medicare

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

1 supplier21 claims21 services$6.81 avg. paid by Medicare

Seat attachment, walker E0156

DME-Other DME · category DE000N

2 suppliers19 claims19 services$13.18 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

2 suppliers46 claims46 services$42.29 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers158 claims158 services$40.15 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

1 supplier25 claims25 services$36.93 avg. paid by Medicare

Powered pressure-reducing air mattress E0277

DME-Hospital Beds · category DB000N

1 supplier19 claims19 services$85.00 avg. paid by Medicare

Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress E0303

DME-Hospital Beds · category DB000N

1 supplier14 claims14 services$106.81 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

3 suppliers24 claims24 services$42.95 avg. paid by Medicare

Manual wheelchair accessory, wheel lock brake extension (handle), each E0961

DME-Wheelchairs · category DD021N

2 suppliers23 claims45 services$13.90 avg. paid by Medicare

Manual wheelchair accessory, anti-tipping device, each E0971

DME-Wheelchairs · category DD021N

2 suppliers32 claims63 services$23.13 avg. paid by Medicare

Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973

DME-Wheelchairs · category DD021N

2 suppliers11 claims22 services$42.45 avg. paid by Medicare

Wheelchair accessory, positioning belt/safety belt/pelvic strap, each E0978

DME-Wheelchairs · category DD021N

2 suppliers12 claims12 services$17.75 avg. paid by Medicare

Rollabout chair, any and all types with casters 5" or greater E1031

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$26.66 avg. paid by Medicare

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

2 suppliers40 claims40 services$8.57 avg. paid by Medicare

General use wheelchair seat cushion, width less than 22 inches, any depth E2601

DME-Wheelchairs · category DD021N

2 suppliers45 claims45 services$26.72 avg. paid by Medicare

General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware E2611

DME-Wheelchairs · category DD021N

2 suppliers28 claims28 services$123.90 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers257 claims257 services$12.88 avg. paid by Medicare

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

1 supplier26 claims26 services$22.87 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

4 suppliers193 claims193 services$18.66 avg. paid by Medicare

Heavy duty wheelchair K0006

DME-Wheelchairs · category DD000N

1 supplier28 claims28 services$39.57 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

3 suppliers163 claims163 services$6.26 avg. paid by Medicare

Below knee, molded socket, shin, sach foot, endoskeletal system L5301

DME-Orthotic Devices · category DF003N

3 suppliers25 claims26 services$1,874.79 avg. paid by Medicare

Addition to lower extremity, test socket, below knee L5620

DME-Orthotic Devices · category DF003N

4 suppliers40 claims57 services$268.34 avg. paid by Medicare

Addition to lower extremity, test socket, above knee L5624

DME-Orthotic Devices · category DF000N

3 suppliers14 claims23 services$349.01 avg. paid by Medicare

Addition to lower extremity, below knee, acrylic socket L5629

DME-Orthotic Devices · category DF003N

3 suppliers33 claims34 services$347.15 avg. paid by Medicare

Addition to lower extremity, above knee or knee disarticulation, acrylic socket L5631

DME-Orthotic Devices · category DF000N

3 suppliers11 claims11 services$486.74 avg. paid by Medicare

Addition to lower extremity, below knee, total contact L5637

DME-Orthotic Devices · category DF003N

4 suppliers40 claims42 services$301.40 avg. paid by Medicare

Addition to lower extremity, below knee, flexible inner socket, external frame L5645

DME-Orthotic Devices · category DF003N

3 suppliers29 claims31 services$652.68 avg. paid by Medicare

Addition to lower extremity, below knee suction socket L5647

DME-Orthotic Devices · category DF003N

2 suppliers14 claims14 services$691.06 avg. paid by Medicare

Addition to lower extremity, ischial containment/narrow m-l socket L5649

DME-Orthotic Devices · category DF000N

3 suppliers14 claims14 services$1,582.49 avg. paid by Medicare

Additions to lower extremity, total contact, above knee or knee disarticulation socket L5650

DME-Orthotic Devices · category DF000N

3 suppliers14 claims14 services$541.02 avg. paid by Medicare

Addition to lower extremity, above knee, flexible inner socket, external frame L5651

DME-Orthotic Devices · category DF000N

3 suppliers14 claims14 services$995.34 avg. paid by Medicare

Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) L5655

DME-Orthotic Devices · category DF003N

3 suppliers15 claims15 services$276.39 avg. paid by Medicare

Addition to lower extremity, below knee, molded distal cushion L5668

DME-Orthotic Devices · category DF003N

3 suppliers14 claims14 services$85.15 avg. paid by Medicare

Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert L5671

DME-Orthotic Devices · category DF003N

4 suppliers29 claims31 services$406.89 avg. paid by Medicare

Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism L5673

DME-Orthotic Devices · category DF003N

3 suppliers29 claims60 services$546.47 avg. paid by Medicare

Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism L5679

DME-Orthotic Devices · category DF003N

5 suppliers38 claims81 services$458.61 avg. paid by Medicare

Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each L5685

DME-Orthotic Devices · category DF003N

4 suppliers24 claims50 services$104.62 avg. paid by Medicare

Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control L5828

DME-Orthotic Devices · category DF003N

3 suppliers13 claims13 services$2,646.92 avg. paid by Medicare

Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable L5845

DME-Orthotic Devices · category DF003N

3 suppliers15 claims15 services$1,364.02 avg. paid by Medicare

Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability L5848

DME-Orthotic Devices · category DF003N

2 suppliers12 claims12 services$803.99 avg. paid by Medicare

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type L5856

DME-Orthotic Devices · category DF003N

2 suppliers12 claims12 services$18,029.73 avg. paid by Medicare

Addition, endoskeletal system, below knee, alignable system L5910

DME-Orthotic Devices · category DF003N

4 suppliers37 claims38 services$324.58 avg. paid by Medicare

Addition, endoskeletal system, above knee or hip disarticulation, alignable system L5920

DME-Orthotic Devices · category DF000N

3 suppliers11 claims11 services$440.43 avg. paid by Medicare

Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) L5940

DME-Orthotic Devices · category DF003N

3 suppliers28 claims29 services$445.84 avg. paid by Medicare

Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) L5950

DME-Orthotic Devices · category DF000N

3 suppliers14 claims14 services$734.25 avg. paid by Medicare

All lower extremity prostheses, foot, flexible keel L5972

DME-Orthotic Devices · category DF003N

3 suppliers12 claims13 services$289.15 avg. paid by Medicare

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source L5973

DME-Orthotic Devices · category DF003N

2 suppliers11 claims12 services$14,134.18 avg. paid by Medicare

All lower extremity prostheses, flex-walk system or equal L5981

DME-Orthotic Devices · category DF003N

3 suppliers19 claims19 services$2,532.22 avg. paid by Medicare

All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) L5986

DME-Orthotic Devices · category DF000N

2 suppliers17 claims17 services$526.21 avg. paid by Medicare

Prosthetic sheath, below knee, each L8400

DME-Orthotic Devices · category DF000N

5 suppliers40 claims240 services$17.22 avg. paid by Medicare

Prosthetic sock, multiple ply, below knee, each L8420

DME-Orthotic Devices · category DF003N

5 suppliers43 claims448 services$18.62 avg. paid by Medicare

Prosthetic shrinker, below knee, each L8440

DME-Orthotic Devices · category DF000N

6 suppliers34 claims70 services$44.36 avg. paid by Medicare

Prosthetic shrinker, above knee, each L8460

DME-Orthotic Devices · category DF000N

2 suppliers12 claims22 services$55.23 avg. paid by Medicare

Prosthetic sock, single ply, fitting, below knee, each L8470

DME-Orthotic Devices · category DF000N

3 suppliers36 claims211 services$5.54 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.

DR. PRABHAT KUMAR SINHA MD

Internal Medicine

20 HOSPITAL DR, STE 3
TOMS RIVER, NJ 08755

Ocean County (732) 341-9900

EDWARD D FIORE MD PA

Family Medicine

20 HOSPITAL DR, SUITE 12A
TOMS RIVER, NJ 08755

Ocean County (732) 349-2067

MRS. LEANNA A HAYNES

Social Worker

20 HOSPITAL DR
TOMS RIVER, NJ 08755

Ocean County (732) 831-6094

ANTOINE C. CHAKER, M.D., P.A.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

20 HOSPITAL DR, SUITE 18
TOMS RIVER, NJ 08755

Ocean County (732) 341-7400

DR. ASHOK K PATEL M.D.

Specialist

20 HOSPITAL DR, SUITE 12
TOMS RIVER, NJ 08755

Ocean County (732) 244-2299

DR. PARVEZ MAHMOOD M.D.

Specialist

20 HOSPITAL DR, SUITE 15
TOMS RIVER, NJ 08755

Ocean County (732) 286-6644

MAHMOOD-SCHOR UROLOGY, P.A.

Specialist

20 HOSPITAL DR, SUITE 15
TOMS RIVER, NJ 08755

Ocean County (732) 286-6644

BOTOX AND FAMILY ASSOCIATES LLC

Family Medicine (Geriatric Medicine)

20 HOSPITAL DR
TOMS RIVER, NJ 08755

Ocean County (732) 341-9900

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 Anoop Porwal's NPI number?

The NPI number for Anoop Porwal is 1053373613. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Anoop Porwal located?

Anoop Porwal practices at 20 Hospital Dr Suite 17A, Toms River, NJ 08755. The listed phone number is (732) 557-4444.

What is Anoop Porwal's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Anoop Porwal enrolled in Medicare?

Yes. Anoop Porwal 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 Anoop Porwal affiliated with any hospitals?

According to CMS data, Anoop Porwal is affiliated with Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Anoop Porwal was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.