PRERAKKUMAR J PATEL MD
NPI 1225410152
Hospitalist in Atlantic City, NJ

Active since June 27, 2015PECOS EnrolledAccepts Medicare Assignment
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401(609) 441-8146 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prerakkumar J Patel Md NPPES

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

PRERAKKUMAR J PATEL MD (NPI 1225410152) is an individual hospitalist provider in Atlantic City, New Jersey, licensed in New Jersey (25MA10408300) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1225410152
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePRERAKKUMAR J PATELCredential: MD
Location Address1925 PACIFIC AVEAtlantic City, NJ 08401-6713
Mailing Address1925 Pacific AveAtlantic City, NJ 08401-6713 · (609) 441-8146
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 27, 2015
Last NPPES UpdateOctober 1, 2018
NPI 1225410152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NJ · 25MA10408300
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT209754 (PA)
1925 PACIFIC AVE, Atlantic City, NJ 08401

Other Names 1

Professional Name (2)Prerak J Patel M.d.

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

Prerakkumar J Patel Md 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 ID5193020956
PECOS Enrollment IDI20180919000945
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 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 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.
986 services342 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.
572 services244 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
291 services283 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.
177 services176 patients

Hospital Affiliations CMS Care Compare 3

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

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08401 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 20

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

Internal Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Internal Medicine (Gastroenterology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Internal Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Peer Specialist
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Surgery (Trauma Surgery)
1925 PACIFIC AVE, TRAUMA DEPARTMENT
ATLANTIC CITY, NJ 08401
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Radiology (Diagnostic Radiology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

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 Prerakkumar Patel's NPI number?

The NPI number for Prerakkumar Patel is 1225410152. It was assigned to this individual provider in the NPPES registry on June 27, 2015. The provider is also known as Prerak J Patel M.D..

Where is Prerakkumar Patel located?

Prerakkumar Patel practices at 1925 Pacific Ave, Atlantic City, NJ 08401. The listed phone number is (609) 441-8146.

What is Prerakkumar Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Prerakkumar Patel enrolled in Medicare?

Yes. Prerakkumar 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 Prerakkumar Patel affiliated with any hospitals?

According to CMS data, Prerakkumar Patel is affiliated with Ocean Medical Center, Jersey Shore University Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Prerakkumar Patel was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.