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DR. PRATAP C SINGHAL M.D.
NPI 1164477303
Family Medicine in Belleville, NJ

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
431 WASHINGTON AVE, BELLEVILLE, NJ 07109(973) 759-2241 Get Directions Write a Review

NPPES record last updated: June 24, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Pratap C Singhal M.d. NPPES

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

DR. PRATAP C SINGHAL M.D. (NPI 1164477303) is an individual family medicine provider in Belleville, New Jersey, licensed in New Jersey (25MA03731500) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1964).

NPPES Registry Identity

NPI1164477303
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PRATAP C SINGHALCredential: M.D.
Location Address431 WASHINGTON AVEBelleville, NJ 07109-2618
Mailing Address431 Washington AveBelleville, NJ 07109-2618 · (973) 759-2241
Phone(973) 759-2241
Sole ProprietorYes
Medical School CMSOtherGraduated 1964
Enumeration DateMay 24, 2006
Last NPPES UpdateJune 24, 2009
✔ NPI 1164477303 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 · 25MA03731500
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.

431 WASHINGTON AVE, Belleville, NJ 07109
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Other Identifiers 3

Medicaid4936701NJ
Medicare UPINC35127NJ
Medicare ID-Type Unspecified000461335NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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. Pratap C Singhal 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 ID4385799725
PECOS Enrollment IDI20090908000519
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 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.
89 services25 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services13 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.
15 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07109 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Frequently Asked Questions

What is Pratap Singhal's NPI number?

The NPI number assigned to this healthcare provider is 1164477303, enumerated as an "individual" on May 24, 2006.

Where is the provider located?

The provider is located at 431 WASHINGTON AVE BELLEVILLE, NJ 07109 and the phone number is (973) 759-2241.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does Pratap Singhal accept?

The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to verify.