1. Home
  2. Directory
  3. New Jersey
  4. Westwood
  5. Optometrist
  6. NPI Profile

URVI PATEL OD
NPI 1265039259
Optometrist in Westwood, NJ

Active since October 03, 2020PECOS EnrolledAccepts Medicare Assignment
55 WESTWOOD AVE, WESTWOOD, NJ 07675(201) 722-2222 Get Directions Write a Review

NPPES record last updated: October 3, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Urvi Patel Od NPPES

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

URVI PATEL OD (NPI 1265039259) is an individual optometrist in Westwood, New Jersey, licensed in New Jersey (27OA00700700) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2020).

NPPES Registry Identity

NPI1265039259
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameURVI PATELCredential: OD
Location Address55 WESTWOOD AVEWestwood, NJ 07675-1713
Mailing Address55 Westwood AveWestwood, NJ 07675-1713
Phone(201) 722-2222
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2020
Enumeration DateOctober 3, 2020
NPPES CertifiedOctober 3, 2020
✔ NPI 1265039259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NJ · 27OA00700700
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
55 WESTWOOD AVE, Westwood, NJ 07675
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana and more.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

Urvi Patel Od 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 ID7416376603
PECOS Enrollment IDI20201008000713
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 Urvi Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dr. Paul Shahinian, LLC
8.2 mi
Optometrist
104 LINWOOD PLZ
Fort Lee, NJ 07024
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1235303413 (201) 461-0661
Eyecare Specialties Support Of Nj PC
100 mi
Optometrist
901 ROUTE 168 STE 409-410
Blackwood, NJ 08012
  • Reassigned Medicare billing, New Jersey enrollment
  • 26 clinicians in this Medicare group
NPI 1003601287 (618) 462-9818

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 9

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
76 services51 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
59 services55 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
39 services39 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
20 services17 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.
20 services19 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07675 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Urvi Patel's NPI number?

The NPI number for Urvi Patel is 1265039259. It was assigned to this individual provider in the NPPES registry on October 3, 2020.

Where is Urvi Patel located?

Urvi Patel practices at 55 Westwood Ave, Westwood, NJ 07675. The listed phone number is (201) 722-2222.

What is Urvi Patel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Urvi Patel enrolled in Medicare?

Yes. Urvi 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 Urvi Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Urvi Patel reassigns Medicare benefits to 2 organizations: Dr. Paul Shahinian, LLC (Fort Lee, NJ) and Eyecare Specialties Support Of Nj PC (Blackwood, 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 Urvi Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Urvi Patel accept?

Health plans from Ambetter Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 9 other insurers list Urvi 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 Urvi Patel was last updated on October 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.