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DR. PRADIP M PATEL M.D.
NPI 1194044388
Internal Medicine in Fort Dix, NJ

Active since May 27, 2010PECOS Enrolled
5756 HARTFORD ROAD, FORT DIX, NJ 08640(609) 723-1100 Get Directions Write a Review

NPPES record last updated: August 10, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Pradip M Patel M.d. NPPES

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

DR. PRADIP M PATEL M.D. (NPI 1194044388) is an individual internal medicine provider in Fort Dix, New Jersey, licensed in New Jersey (25MA07004800) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194044388
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRADIP M PATELCredential: M.D.
Location Address5756 HARTFORD ROADFort Dix, NJ 08640-0902
Mailing AddressPo Box 38, Federal Correctional Institution, Health Services Div.Fort Dix, NJ 08640-0902 · (609) 723-1100
Phone(609) 723-1100
Sole ProprietorYes
Enumeration DateMay 27, 2010
Last NPPES UpdateAugust 10, 2011
✔ NPI 1194044388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA07004800
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5756 HARTFORD ROAD, Fort Dix, NJ 08640
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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 (PECOS)

Dr. Pradip M Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Pradip Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Jersey Urgent Care
33 mi
Urgent Care
731 HIGHWAY 35, UNIT G
Ocean, NJ 07712
  • Reassigned Medicare billing, New Jersey enrollment
  • 130 clinicians in this Medicare group
NPI 1316285091 (732) 455-8444
Urgent Care Physicians Of New Jersey, LLC
36 mi
Emergency Medicine
46 NEWMAN SPRINGS RD E STE F
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 160 clinicians in this Medicare group
NPI 1447622402 (973) 630-8947
Immediate Care Medical Walk-In Of Hazlet, PA
36 mi
Urgent Care
1376 HIGHWAY 36
Hazlet, NJ 07730
  • Reassigned Medicare billing, New Jersey enrollment
  • 142 clinicians in this Medicare group
NPI 1245595313 (732) 264-5500

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 2

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.

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.
19 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08640 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
$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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KENNETH HARRY SCHMIDT RPH
Pharmacist
5756 HARTFORD ROAD
FORT DIX, NJ 08640
Burlington County (609) 723-1100

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 Pradip Patel's NPI number?

The NPI number for Pradip Patel is 1194044388. It was assigned to this individual provider in the NPPES registry on May 27, 2010.

Where is Pradip Patel located?

Pradip Patel practices at 5756 Hartford Road, Fort Dix, NJ 08640. The listed phone number is (609) 723-1100.

What is Pradip Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pradip Patel enrolled in Medicare?

Yes. Pradip Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pradip Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pradip Patel reassigns Medicare benefits to 3 organizations: Central Jersey Urgent Care (Ocean, NJ), Urgent Care Physicians Of New Jersey, LLC (Red Bank, NJ) and Immediate Care Medical Walk-In Of Hazlet, PA (Hazlet, 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 Pradip Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pradip Patel accept?

Health plans from Oscar Health list Pradip Patel 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 Pradip Patel was last updated on August 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.