MITUL R PATEL M.D.
NPI 1285615120
General Practice in East Patchogue, NY

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment
90.85/100
CMS Quality Rating
250 PATCHOGUE YAPHANK RD, SUITES # 7, EAST PATCHOGUE, NY 11772(631) 289-0900(631) 569-4909 Get Directions Write a Review

NPPES record last updated: November 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mitul R Patel M.d. NPPES

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

MITUL R PATEL M.D. (NPI 1285615120) is an individual general practice provider in East Patchogue, New York, licensed in New York (203391) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1285615120
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMITUL R PATELCredential: M.D.
Location Address250 PATCHOGUE YAPHANK RD, SUITES # 7East Patchogue, NY 11772-4800
Mailing Address250 Patchogue Yaphank Rd, Suites # 7East Patchogue, NY 11772-4800 · (631) 289-0900 · Fax (631) 569-4909
Fax(631) 569-4909
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateNovember 8, 2005
Last NPPES UpdateNovember 15, 2014
NPI 1285615120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NY · 203391
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
250 PATCHOGUE YAPHANK RD, East Patchogue, NY 11772

Other Identifiers 9

Other67712NY · Vytra Health Id No.
Other2046588NY · Aetna Provider Number
Medicaid01849976NY
Other100693NY · Hip Health Plan Id No.
OtherP00214307NY · Rr Medicare Id No.
OtherP452012NY · Oxford Health Id No.
Medicaid018499760NY
Other004AF3NY · Empire Blue Cross Id
Medicare UPING62056NY

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

Mitul R 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 ID4587606843
PECOS Enrollment IDI20050526000174
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 26

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.
1,431 services48 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
1,264 services125 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
1,036 services110 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
466 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
454 services98 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.
444 services98 patients

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.

90.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.14
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%277 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
72%67 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%77 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers24 claims41 services$6.42 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$23.54 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier11 claims110 services$2.14 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims12 services$9.37 avg. paid by Medicare
Ostomy pouch, closed, with barrier attached, with filter (1 piece), each A4416
DME-Orthotic Devices · category DF010N
1 supplier11 claims660 services$2.66 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier12 claims360 services$6.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Surgery
250 PATCHOGUE YAPHANK RD, SUITE 7
EAST PATCHOGUE, NY 11772
Urology
250 PATCHOGUE YAPHANK RD, SUITE 11 B
EAST PATCHOGUE, NY 11772
Specialist
250 PATCHOGUE YAPHANK RD, SUITE 5
EAST PATCHOGUE, NY 11772
Physician Assistant
250 PATCHOGUE YAPHANK RD, SUITE 12
EAST PATCHOGUE, NY 11772
Thoracic Surgery (Cardiothoracic Vascular Surgery)
250 PATCHOGUE YAPHANK RD, SUITE 5A
EAST PATCHOGUE, NY 11772
General Practice
250 PATCHOGUE YAPHANK RD, SUITE 7
EAST PATCHOGUE, NY 11772
Dentist (General Practice)
250 PATCHOGUE YAPHANK RD, SUITE 8
EAST PATCHOGUE, NY 11772
Surgery
250 PATCHOGUE YAPHANK RD, SUITE #17
EAST PATCHOGUE, NY 11772

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 Mitul Patel's NPI number?

The NPI number for Mitul Patel is 1285615120. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Mitul Patel located?

Mitul Patel practices at 250 Patchogue Yaphank Rd Suites # 7, East Patchogue, NY 11772. The listed phone number is (631) 289-0900.

What is Mitul Patel's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mitul Patel enrolled in Medicare?

Yes. Mitul 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 Mitul Patel was last updated on November 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.