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MITESH GORDHAN KATHROTIA M.D.
NPI 1154612430
Family Medicine in Freehold, NJ

Active since April 21, 2011PECOS EnrolledAccepts Medicare Assignment
17 BROAD ST, FREEHOLD, NJ 07728(732) 780-1601(732) 780-1936 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mitesh Gordhan Kathrotia M.d. NPPES

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

MITESH GORDHAN KATHROTIA M.D. (NPI 1154612430) is an individual family medicine provider in Freehold, New Jersey, licensed in New Jersey (25MA09498400) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154612430
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMITESH GORDHAN KATHROTIACredential: M.D.
Location Address17 BROAD STFreehold, NJ 07728-1757
Mailing Address300 E 46th St, Apt 6bNew York, NY 10017-3000 · (805) 452-0536
Phone(732) 780-1601
Fax(732) 780-1936
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 21, 2011
Last NPPES UpdateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
✔ NPI 1154612430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA09498400
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
17 BROAD ST, Freehold, NJ 07728
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1175 High StNewton, NJ 07860-1004 · Phone (973) 579-8321 · Fax (973) 383-4572
Location 2651 Willow Grove StHackettstown, NJ 07840-1799 · Phone (908) 441-1161 · Fax (908) 441-1152

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Mitesh Gordhan Kathrotia 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 ID6901044882
PECOS Enrollment IDI20140910001522
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mitesh Kathrotia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rwjbh Emergency Medicine Associates, LLC
23 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618
Newark Beth Israel Medical Center Inc
31 mi
General Acute Care Hospital
201 LYONS AVE
Newark, NJ 07112
  • Reassigned Medicare billing, New Jersey enrollment
  • 79 clinicians in this Medicare group
NPI 1033210323 (732) 557-7119
Practice Associates Medical Group
38 mi
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
NPI 1427016385 (844) 264-2250

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 3

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.

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.
369 services348 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
231 services221 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310009
LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County
Emergency services Birthing friendly

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 At Rahway

Acute Care Hospitals · Rahway, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310024
Location865 Stone StRahway, NJ 07065 · Union County
Emergency services

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310115
Location651 Willow Grove StHackettstown, NJ 07840 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%499 patients4/55-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.

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.

RUTH PALACIO MS
Counselor
17 BROAD ST
FREEHOLD, NJ 07728
Monmouth County (610) 644-6464
MRS. LORRAINE RIKER ANPC
Nurse Practitioner (Family)
17 BROAD ST
FREEHOLD, NJ 07728
Monmouth County (732) 462-9622
DR. SHITAL PATEL M.D.
Internal Medicine
17 BROAD ST
FREEHOLD, NJ 07728
Monmouth County (732) 780-1601
KENNETH FAISTL, MD,PA
Family Medicine
17 BROAD ST
FREEHOLD, NJ 07728
Monmouth County (732) 462-9622

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 Mitesh Kathrotia's NPI number?

The NPI number for Mitesh Kathrotia is 1154612430. It was assigned to this individual provider in the NPPES registry on April 21, 2011.

Where is Mitesh Kathrotia located?

Mitesh Kathrotia practices at 17 Broad St, Freehold, NJ 07728. The listed phone number is (732) 780-1601.

What is Mitesh Kathrotia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mitesh Kathrotia enrolled in Medicare?

Yes. Mitesh Kathrotia 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 Mitesh Kathrotia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mitesh Kathrotia reassigns Medicare benefits to 3 organizations: Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Newark Beth Israel Medical Center Inc (Newark, NJ) and Practice Associates Medical Group (Morristown, 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 Mitesh Kathrotia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mitesh Kathrotia accept?

Health plans from Oscar Health list Mitesh Kathrotia 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 Mitesh Kathrotia affiliated with any hospitals?

According to CMS data, Mitesh Kathrotia is affiliated with Clara Maass Medical Center, Morristown Medical Center, Robert Wood Johnson University Hospital At Rahway, Cooperman Barnabas Medical Center and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Mitesh Kathrotia was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.