DR. CHHAYA PATEL D.O.
NPI 1265452841
Internal Medicine in Philadelphia, PA

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
1321 SOUTH ST, PHILADELPHIA, PA 19147(215) 327-0628 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Chhaya Patel D.o. NPPES

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

DR. CHHAYA PATEL D.O. (NPI 1265452841) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS013333) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1265452841
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CHHAYA PATELCredential: D.O.
Location Address1321 SOUTH STPhiladelphia, PA 19147-1822
Mailing Address1321 South StPhiladelphia, PA 19147-1822 · (215) 327-0628
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 29, 2021
NPPES CertifiedJuly 29, 2021
✔ NPI 1265452841 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 PA · OS013333
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 25MB08695100 (NJ)
1321 SOUTH ST, Philadelphia, PA 19147

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

Dr. Chhaya Patel D.o. 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 ID5698784866
PECOS Enrollment IDI20100903000733
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

6

Medicare enrollment records show Chhaya Patel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
175 MADISON AVE
Mount Holly, NJ 08060
  • Reassigned Medicare billing, New Jersey enrollment
  • 248 clinicians in this Medicare group
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
Hospitalist
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
Emergency Medicine
99 BEAUVOIR AVE
Summit, NJ 07901
  • Reassigned Medicare billing, New Jersey enrollment
  • 436 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
Emergency Care
461 RIVER RD
Edgewater, NJ 07020
  • Reassigned Medicare billing, New Jersey enrollment
  • 144 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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
420 services412 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
98 services98 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services23 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19147 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.48
Improvement Activities40
Cost66.71

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 Chhaya Patel's NPI number?

The NPI number for Chhaya Patel is 1265452841. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Chhaya Patel located?

Chhaya Patel practices at 1321 South St, Philadelphia, PA 19147. The listed phone number is (215) 327-0628.

What is Chhaya Patel's specialty?

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

Is Chhaya Patel enrolled in Medicare?

Yes. Chhaya 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 Chhaya Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chhaya Patel reassigns Medicare benefits to 6 organizations: Emergency Physician Services Of New Jersey,professional Association (Mount Holly, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Robert Wood Johnson Medical Associates (New Brunswick, NJ), Emergency Physician Associates Of North Jersey P C (Summit, NJ), Rwjbh Observation Associates LLC (Livingston, NJ) and 1 more organization, listed in the Medicare section above. 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 Chhaya Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chhaya Patel accept?

Health plans from Oscar Health list Chhaya 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 Chhaya Patel affiliated with any hospitals?

According to CMS data, Chhaya Patel is affiliated with University Medical Center Of Princeton At Plainsboro, Robert Wood Johnson University Hospital and Community Medical Center.

When was this NPI record last updated?

The NPPES record for Chhaya Patel was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.