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DR. PRADIP N PATEL MD
NPI 1295814747
Family Medicine in Lindenwold, NJ

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
657 BLACKWOOD CLEMENTON RD, LINDENWOLD, NJ 08021(856) 566-8325(856) 566-8326 Get Directions Write a Review

NPPES record last updated: January 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Pradip N Patel Md NPPES

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

DR. PRADIP N PATEL MD (NPI 1295814747) is an individual family medicine provider in Lindenwold, New Jersey, licensed in New Jersey (25MA05688800) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1295814747
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PRADIP N PATELCredential: MD
Location Address657 BLACKWOOD CLEMENTON RDLindenwold, NJ 08021
Mailing Address657 Blackwood Clementon RdLindenwold, NJ 08021 · (856) 566-8325 · Fax (856) 566-8326
Phone(856) 566-8325
Fax(856) 566-8326
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateNovember 3, 2006
Last NPPES UpdateJanuary 7, 2011
✔ NPI 1295814747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA05688800
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
657 BLACKWOOD CLEMENTON RD, Lindenwold, NJ 08021
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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. Pradip N Patel Md 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 ID4688843766
PECOS Enrollment IDI20110805000493
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 2

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 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.
105 services57 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08021 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 2

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
16 suppliers43 claims67 services$3.74 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers17 claims17 services$0.67 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VMD HEALTHCARE LLC
Internal Medicine
657 BLACKWOOD CLEMENTON RD
LINDENWOLD, NJ 08021
Camden County (856) 566-8325
DR. VIVEK MOHAN MD
Internal Medicine
657 BLACKWOOD CLEMENTON RD
LINDENWOLD, NJ 08021
Camden County (856) 566-8325

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 Pradip Patel's NPI number?

The NPI number for Pradip Patel is 1295814747. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Pradip Patel located?

Pradip Patel practices at 657 Blackwood Clementon Rd, Lindenwold, NJ 08021. The listed phone number is (856) 566-8325.

What is Pradip Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pradip Patel enrolled in Medicare?

Yes. Pradip 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.

What insurance does Pradip Patel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Pradip 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 Pradip Patel affiliated with any hospitals?

According to CMS data, Pradip Patel is affiliated with Cooper University Hospital.

When was this NPI record last updated?

The NPPES record for Pradip Patel was last updated on January 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.