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DR. NITIN SURESH PATEL M.D.
NPI 1194082800
Family Medicine in Neptune, NJ

Active since April 19, 2012PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
19 DAVIS AVE FL 6, NEPTUNE, NJ 07753(732) 897-3990(732) 897-3997 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2022, Aug 24, 2022, Oct 8, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Nitin Suresh Patel M.d. NPPES

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

DR. NITIN SURESH PATEL M.D. (NPI 1194082800) is an individual family medicine provider in Neptune, New Jersey, licensed in New Jersey (25MA10286800) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1194082800
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NITIN SURESH PATELCredential: M.D.
Location Address19 DAVIS AVE FL 6Neptune, NJ 07753-4488
Mailing Address19 Davis Ave Fl 6Neptune, NJ 07753-4488 · (732) 897-3990 · Fax (732) 897-3997
Phone(732) 897-3990
Fax(732) 897-3997
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 19, 2012
Last NPPES UpdateSeptember 20, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
✔ NPI 1194082800 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 · 25MA10286800
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.
19 DAVIS AVE FL 6, Neptune, NJ 07753
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Other Identifiers 1

Medicaid02995513NY

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nitin Suresh 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 ID6002113792
PECOS Enrollment IDI20181105000302
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

2

Medicare enrollment records show Nitin Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Complex Care PC
9.2 mi
Internal Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1154379626 (732) 807-0800
Hackensack Meridian Health Medical Group - Primary Care PC
9.2 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800

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 7

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.

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.
110 services110 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
109 services79 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.
67 services54 patients
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.
37 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services35 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth 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

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

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.

DR. ADAM CHAIM KAPLAN M.D.
Internal Medicine
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Monmouth County (732) 897-3990
JOSE FUNE MD
Internal Medicine (Infectious Disease)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Monmouth County (732) 897-3995
DR. KATHLEEN KING CASEY MD
Internal Medicine (Infectious Disease)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Monmouth County (732) 897-3995
CHARUDATTA WANKHADE MD
Internal Medicine (Gastroenterology)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Monmouth County (732) 897-2777
DR. DEBORAH R. ALPERT MD
Internal Medicine (Rheumatology)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Monmouth County (732) 897-3985
FRANCINE FANE FOO DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Monmouth County (732) 775-5500
DR. JEREMY SAMUEL LEVIN MD
Internal Medicine (Infectious Disease)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Monmouth County (732) 897-3990
DR. KATHERINE HU DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Monmouth County (732) 897-3980

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 Nitin Patel's NPI number?

The NPI number for Nitin Patel is 1194082800. It was assigned to this individual provider in the NPPES registry on April 19, 2012.

Where is Nitin Patel located?

Nitin Patel practices at 19 Davis Ave Fl 6, Neptune, NJ 07753. The listed phone number is (732) 897-3990.

What is Nitin Patel's specialty?

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

Is Nitin Patel enrolled in Medicare?

Yes. Nitin 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.

Which organizations bill Medicare for Nitin Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nitin Patel reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Primary 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 Nitin Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nitin Patel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nitin 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.

Is Nitin Patel affiliated with any hospitals?

According to CMS data, Nitin Patel is affiliated with Riverview Medical Center, Ocean Medical Center, Jersey Shore University Medical Center and Monmouth Medical Center.

When was this NPI record last updated?

The NPPES record for Nitin Patel was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.