DR. SEJAL A. PATEL MBBS
NPI 1336459742
Internal Medicine in E Patchogue, NY

Active since October 19, 2010PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
101 HOSPITAL RD, E PATCHOGUE, NY 11772(631) 687-4131(631) 654-7376 Get Directions Write a Review

NPPES record last updated: October 19, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sejal A. Patel Mbbs NPPES

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

DR. SEJAL A. PATEL MBBS (NPI 1336459742) is an individual internal medicine provider in E Patchogue, New York, licensed in New York (259132) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1336459742
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SEJAL A. PATELCredential: MBBS
Location Address101 HOSPITAL RDE Patchogue, NY 11772-4870
Mailing Address5410 Maryland Way, Suite 300Brentwood, TN 37027-5064 · (615) 377-5600 · Fax (615) 373-5280
Fax(631) 654-7376
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 19, 2010
NPI 1336459742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 259132
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.

101 HOSPITAL RD, E Patchogue, NY 11772

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. Sejal A. Patel Mbbs 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 ID5395923213
PECOS Enrollment IDI20110624000032
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 6

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 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.
211 services122 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
28 services25 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.
27 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Internal Medicine (Critical Care Medicine)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Internal Medicine
101 HOSPITAL RD
PATCHOGUE, NY 11772
Clinic/Center (Mental Health (Including Community Mental Health Center))
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Student in an Organized Health Care Education/Training Program
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant (Medical)
101 HOSPITAL RD
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 Sejal Patel's NPI number?

The NPI number for Sejal Patel is 1336459742. It was assigned to this individual provider in the NPPES registry on October 19, 2010.

Where is Sejal Patel located?

Sejal Patel practices at 101 Hospital Rd, E Patchogue, NY 11772. The listed phone number is (631) 687-4131.

What is Sejal Patel's specialty?

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

Is Sejal Patel enrolled in Medicare?

Yes. Sejal 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.

Is Sejal Patel affiliated with any hospitals?

According to CMS data, Sejal Patel is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Sejal Patel was last updated on October 19, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.