DR. NACHIKET V PATEL M.D.
NPI 1104999036
Internal Medicine - Cardiovascular Disease in Toms River, NJ

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
59.19/100
CMS Quality Rating
9 HOSPITAL DR, SUITE B9, TOMS RIVER, NJ 08755(732) 736-8888 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nachiket V Patel M.d. NPPES

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

DR. NACHIKET V PATEL M.D. (NPI 1104999036) is an individual cardiovascular disease provider in Toms River, New Jersey, licensed in New Jersey (MA56746) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1104999036
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. NACHIKET V PATELCredential: M.D.
Location Address9 HOSPITAL DR, SUITE B9Toms River, NJ 08755-6425
Mailing Address9 Hospital Dr, Suite B9Toms River, NJ 08755-6425 · (732) 736-8888
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateNovember 16, 2006
Last NPPES UpdateNovember 16, 2011
NPI 1104999036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · MA56746
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.
9 HOSPITAL DR, Toms River, NJ 08755

Other Identifiers 2

Medicare UPINF82143NJ
Medicare ID-Type Unspecified049430NJ

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. Nachiket V Patel 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.

PECOS PAC ID3476713934
PECOS Enrollment IDI20120321000435
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 16

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.
1,619 services409 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.
599 services570 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.
499 services176 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.
479 services190 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
268 services251 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.
194 services170 patients

Hospital Affiliations CMS Care Compare 5

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

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

59.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality66.48
Improvement Activities0
Cost89.39

Reported Quality Measures

Controlling High Blood Pressure
85%127 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%674 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%117 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 92% · 179 patients
84%179 patients
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.

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.

Prosthetic/Orthotic Supplier
9 HOSPITAL DR, SUITE A5
TOMS RIVER, NJ 08755
Chiropractor
9 HOSPITAL DR, 15B
TOMS RIVER, NJ 08755
Internal Medicine (Cardiovascular Disease)
9 HOSPITAL DR, SUITE C-6
TOMS RIVER, NJ 08755
Pediatrics
9 HOSPITAL DR, SUITE 27C
TOMS RIVER, NJ 08755
Durable Medical Equipment & Medical Supplies
9 HOSPITAL DR
TOMS RIVER, NJ 08755
Dentist (Oral and Maxillofacial Surgery)
9 HOSPITAL DR
TOMS RIVER, NJ 08755
Neurological Surgery
9 HOSPITAL DR
TOMS RIVER, NJ 08755
Orthopaedic Surgery
9 HOSPITAL DR
TOMS RIVER, NJ 08755

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 Nachiket Patel's NPI number?

The NPI number for Nachiket Patel is 1104999036. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Nachiket Patel located?

Nachiket Patel practices at 9 Hospital Dr Suite B9, Toms River, NJ 08755. The listed phone number is (732) 736-8888.

What is Nachiket Patel's specialty?

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

Is Nachiket Patel enrolled in Medicare?

Yes. Nachiket 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.

Is Nachiket Patel affiliated with any hospitals?

According to CMS data, Nachiket Patel is affiliated with Robert Wood Johnson University Hospital, Community Medical Center, Ocean Medical Center, Jersey Shore University Medical Center and Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Nachiket Patel was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.