DR. HIMANSHU PATEL MD
NPI 1336188622
Pediatrics in Somerset, NJ
About Dr. Himanshu Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HIMANSHU PATEL MD (NPI 1336188622) is an individual pediatrics provider in Somerset, New Jersey, licensed in New Jersey (MAO62160) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses
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. Himanshu 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.
Medicare Billing Reassignment
Medicare enrollment records show Himanshu Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hackettstown, NJ 07840
- Reassigned Medicare billing, New Jersey enrollment
- 429 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08873 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOMERSET, NJ 08873
SOMERSET, NJ 08873
SOMERSET, NJ 08873
SOMERSET, NJ 08873
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 Himanshu Patel's NPI number?
The NPI number for Himanshu Patel is 1336188622. It was assigned to this individual provider in the NPPES registry on June 5, 2006.
Where is Himanshu Patel located?
Himanshu Patel practices at 1527 State Route 27 Suite # 1600, Somerset, NJ 08873. The listed phone number is (732) 418-1700.
What is Himanshu Patel's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Himanshu Patel enrolled in Medicare?
Yes. Himanshu 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 organization bills Medicare for Himanshu Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Himanshu Patel reassigns Medicare benefits to The Radiology Group Of New Jersey, LLC (Hackettstown, NJ). The 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 Himanshu Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Himanshu Patel accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Himanshu 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 Himanshu Patel was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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. Himanshu Patel, MD · NPI 1336188622
Pediatrics physician in Somerset, New Jersey. Individual provider, active in the CMS NPPES registry since June 5, 2006.
## Identity
- **NPI:** 1336188622 (Entity type: Individual)
- **Enumerated:** June 5, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MAO62160 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1527 STATE ROUTE 27, SUITE # 1600, Somerset, NJ 08873-3979
- **Phone:** (732) 418-1700 · **Fax:** (732) 249-9599
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Radiology Group Of New Jersey, LLC (NPI 1174010540, Hackettstown, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1336188622) · Data from the CMS NPPES public registry.