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DR. KRISHNA PATEL M.D.
NPI 1235166489
Pediatrics in Clinton, NJ

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
40 PITTSTOWN ROAD, HUNTERDON DEVELOPMENTAL CENTER, CLINTON, NJ 08809(908) 735-4031(908) 730-1340 Get Directions Write a Review

NPPES record last updated: January 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Krishna Patel M.d. NPPES

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

DR. KRISHNA PATEL M.D. (NPI 1235166489) is an individual pediatrics provider in Clinton, New Jersey, licensed in New Jersey (25MA04200300) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1235166489
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KRISHNA PATELCredential: M.D.
Location Address40 PITTSTOWN ROAD, HUNTERDON DEVELOPMENTAL CENTERClinton, NJ 08809-4008
Mailing Address40 Pittstown Road, State Of New Jersey /hunterdon Developmental CenterClinton, NJ 08809-0000 · (908) 735-4031 · Fax (908) 730-1340
Phone(908) 735-4031
Fax(908) 730-1340
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJune 26, 2006
Last NPPES UpdateJanuary 9, 2015
✔ NPI 1235166489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA04200300
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
40 PITTSTOWN ROAD, Clinton, NJ 08809
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Other Identifiers 1

Medicare UPINE79146

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. Krishna 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 ID2365587268
PECOS Enrollment IDI20100303000556
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 5

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
338 services50 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
213 services43 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services25 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08809 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims154 services$2.63 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier51 claims714 services$3.36 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier46 claims6,325 services$0.29 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier25 claims5,801 services$0.26 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier27 claims27 services$8.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Krishna Patel's NPI number?

The NPI number for Krishna Patel is 1235166489. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Krishna Patel located?

Krishna Patel practices at 40 Pittstown Road Hunterdon Developmental Center, Clinton, NJ 08809. The listed phone number is (908) 735-4031.

What is Krishna Patel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Krishna Patel enrolled in Medicare?

Yes. Krishna 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.

When was this NPI record last updated?

The NPPES record for Krishna Patel was last updated on January 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.