DR. PAYAL AMEESH MAKADIA M.D.
NPI 1053639229
Pediatrics - Pediatric Gastroenterology in Hackensack, NJ
About Dr. Payal Ameesh Makadia M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAYAL AMEESH MAKADIA M.D. (NPI 1053639229) is an individual pediatric gastroenterology provider in Hackensack, New Jersey, licensed in New Jersey (25MA09966300) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 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. Payal Ameesh Makadia 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.
Medicare Billing Reassignments
2Medicare enrollment records show Payal Makadia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 306 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HACKENSACK, NJ 07601
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 Payal Makadia's NPI number?
The NPI number for Payal Makadia is 1053639229. It was assigned to this individual provider in the NPPES registry on May 12, 2010. The provider is also known as Dr. Payal Amul Patel MD.
Where is Payal Makadia located?
Payal Makadia practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-2000.
What is Payal Makadia's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.
Is Payal Makadia enrolled in Medicare?
Yes. Payal Makadia 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 organizations bill Medicare for Payal Makadia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Payal Makadia reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each 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 Payal Makadia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Payal Makadia accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Payal Makadia 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.
When was this NPI record last updated?
The NPPES record for Payal Makadia was last updated on March 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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. Payal Ameesh Makadia, M.D. · NPI 1053639229
Pediatric Gastroenterology physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since May 12, 2010.
## Identity
- **NPI:** 1053639229 (Entity type: Individual)
- **Enumerated:** May 12, 2010
- **Primary specialty:** Pediatrics - Pediatric Gastroenterology · taxonomy 2080P0206X
- **State license:** 25MA09966300 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 PROSPECT AVE, Hackensack, NJ 07601-1915
- **Phone:** (551) 996-2000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Hackensack Meridian Health Medical Group - Complex Care PC (NPI 1154379626, Red Bank, NJ); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical University Of South Carolina College Of Medicine, class of 2010
## Record status
- **NPPES last updated:** March 31, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1053639229) · Data from the CMS NPPES public registry.