GOPI PATEL
NPI 1265173561
Internal Medicine in Somerville, NJ

Active since April 02, 2022PECOS EnrolledAccepts Medicare Assignment
110 REHILL AVE, SOMERVILLE, NJ 08876(908) 685-2200 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gopi Patel NPPES

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

GOPI PATEL (NPI 1265173561) is an individual internal medicine provider in Somerville, New Jersey, licensed in New Jersey (25MA12588500) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and maintains a secondary practice location in Richmond Hill.

NPPES Registry Identity

NPI1265173561
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameGOPI PATEL
Location Address110 REHILL AVESomerville, NJ 08876-2519
Mailing Address110 Rehill AveSomerville, NJ 08876-2519 · (908) 685-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 2, 2022
Last NPPES UpdateJuly 11, 2025
NPPES CertifiedJuly 11, 2025
✔ NPI 1265173561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA12588500
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.
110 REHILL AVE, Somerville, NJ 08876

Secondary Practice Location 1

Location 18900 Van Wyck ExpyRichmond Hill, NY 11418-2832 · Phone (718) 206-6000

Accepted 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

Gopi Patel 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 ID7618463688
PECOS Enrollment IDI20251229002763
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 Gopi Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08876 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
$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.

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.

General Acute Care Hospital
110 REHILL AVE
SOMERVILLE, NJ 08876
Physician Assistant
110 REHILL AVE
SOMERVILLE, NJ 08876
Physical Therapist
110 REHILL AVE
SOMERVILLE, NJ 08876
Student in an Organized Health Care Education/Training Program
110 REHILL AVE
SOMERVILLE, NJ 08876
Peer Specialist
110 REHILL AVE
SOMERVILLE, NJ 08876
Peer Specialist
110 REHILL AVE
SOMERVILLE, NJ 08876
Emergency Medicine
110 REHILL AVE, SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
Peer Specialist
110 REHILL AVE
SOMERVILLE, NJ 08876

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 Gopi Patel's NPI number?

The NPI number for Gopi Patel is 1265173561. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Where is Gopi Patel located?

Gopi Patel practices at 110 Rehill Ave, Somerville, NJ 08876. The listed phone number is (908) 685-2200.

What is Gopi Patel's specialty?

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

Is Gopi Patel enrolled in Medicare?

Yes. Gopi 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 Gopi Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gopi Patel reassigns Medicare benefits to 2 organizations: Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ) and Rwjbh Observation Associates LLC (Livingston, 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 Gopi Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gopi Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Gopi 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 Gopi Patel affiliated with any hospitals?

According to CMS data, Gopi Patel is affiliated with Robert Wood Johnson University Hospital and Robert Wood Johnson University Hospital - Somerset.

When was this NPI record last updated?

The NPPES record for Gopi Patel was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.