DR. NEHA BHANABHAI PATEL M.D.
NPI 1306231469
Pediatrics - Pediatric Pulmonology in Newark, NJ
About Dr. Neha Bhanabhai Patel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NEHA BHANABHAI PATEL M.D. (NPI 1306231469) is an individual pediatric pulmonology provider in Newark, New Jersey, licensed in New Jersey (25MA12037500) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Neha Bhanabhai Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Neha Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
Brooklyn, NY 11219
- Reassigned Medicare billing, New York enrollment
- 1,177 clinicians in this Medicare group
New York, NY 10025
- Reassigned Medicare billing, New York enrollment
- 5,251 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.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07112
NEWARK, NJ 07112
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 Neha Patel's NPI number?
The NPI number for Neha Patel is 1306231469. It was assigned to this individual provider in the NPPES registry on April 4, 2015.
Where is Neha Patel located?
Neha Patel practices at 201 Lyons Ave # L5, Newark, NJ 07112. The listed phone number is (973) 926-7280.
What is Neha Patel's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.
Is Neha Patel enrolled in Medicare?
Yes. Neha Patel is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Neha Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Neha Patel reassigns Medicare benefits to 3 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ), Maimonides Faculty Practice Plan (Brooklyn, NY) and Montefiore Medical Center (New York, NY). 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 Neha Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Neha Patel accept?
Health plans from Ambetter Health and Oscar Health list Neha 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 Neha Patel was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Neha Bhanabhai Patel, M.D. · NPI 1306231469
Pediatric Pulmonology physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since April 4, 2015.
## Identity
- **NPI:** 1306231469 (Entity type: Individual)
- **Enumerated:** April 4, 2015
- **Primary specialty:** Pediatrics - Pediatric Pulmonology · taxonomy 2080P0214X
- **State license:** 25MA12037500 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 LYONS AVE # L5, Newark, NJ 07112-2027
- **Phone:** (973) 926-7280
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ); Maimonides Faculty Practice Plan (NPI 1053344846, Brooklyn, NY); Montefiore Medical Center (NPI 1760288278, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 18, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1306231469) · Data from the CMS NPPES public registry.