DR. AMIT H. PATEL MD
NPI 1346515756
Internal Medicine - Pulmonary Disease in Cape May Court House, NJ

Active since March 19, 2012PECOS EnrolledAccepts Medicare Assignment
54.36/100
CMS Quality Rating
207 COURT HOUSE SOUTH DENNIS RD, CAPE MAY COURT HOUSE, NJ 08210(609) 465-2001(609) 465-8440 Get Directions Write a Review

NPPES record last updated: August 27, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Amit H. Patel Md NPPES

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

DR. AMIT H. PATEL MD (NPI 1346515756) is an individual pulmonary disease provider in Cape May Court House, New Jersey, licensed in New Jersey (25MA08968900) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1346515756
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. AMIT H. PATELCredential: MD
Location Address207 COURT HOUSE SOUTH DENNIS RDCape May Court House, NJ 08210-1968
Mailing AddressPo Box 593Cape May Court House, NJ 08210-0593 · (609) 463-2755 · Fax (609) 463-2757
Fax(609) 465-8440
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 19, 2012
Last NPPES UpdateAugust 27, 2014
NPI 1346515756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NJ · 25MA08968900
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

207 COURT HOUSE SOUTH DENNIS RD, Cape May Court House, NJ 08210

Other Identifiers 1

Medicare PIN355009WXTNJ

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. Amit H. 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 ID8022234392
PECOS Enrollment IDI20140722001623
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 9

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
2,071 services409 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
578 services145 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
486 services224 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
331 services264 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.
252 services130 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.
107 services80 patients

Hospital Affiliations CMS Care Compare 2

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08210 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
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.

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.

54.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.74
Improvement Activities0
Cost55.78

Referred Medical Equipment & Supplies CMS DME claims 23

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$26.39 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers19 claims19 services$72.13 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers20 claims55 services$27.12 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers20 claims117 services$14.89 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers17 claims84 services$12.07 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers35 claims35 services$43.97 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 5

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

Internal Medicine (Cardiovascular Disease)
207 COURT HOUSE SOUTH DENNIS RD
CAPE MAY COURT HOUSE, NJ 08210
Orthopaedic Surgery (Hand Surgery)
207 COURT HOUSE SOUTH DENNIS RD
CAPE MAY COURT HOUSE, NJ 08210
Occupational Therapist (Hand)
207 COURT HOUSE SOUTH DENNIS RD
CAPE MAY COURT HOUSE, NJ 08210
Occupational Therapist (Hand)
207 COURT HOUSE SOUTH DENNIS RD
CAPE MAY COURT HOUSE, NJ 08210
Durable Medical Equipment & Medical Supplies
207 COURT HOUSE SOUTH DENNIS RD
CAPE MAY COURT HOUSE, NJ 08210

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 Amit Patel's NPI number?

The NPI number for Amit Patel is 1346515756. It was assigned to this individual provider in the NPPES registry on March 19, 2012.

Where is Amit Patel located?

Amit Patel practices at 207 Court House South Dennis Rd, Cape May Court House, NJ 08210. The listed phone number is (609) 465-2001.

What is Amit Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Amit Patel enrolled in Medicare?

Yes. Amit 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 Amit Patel affiliated with any hospitals?

According to CMS data, Amit Patel is affiliated with Community Medical Center and Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Amit Patel was last updated on August 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.