DR. PREM PATEL M.D.
NPI 1376073684
Internal Medicine - Cardiovascular Disease in Cedar Knolls, NJ

Active since June 19, 2017PECOS EnrolledAccepts Medicare Assignment
65 RIDGEDALE AVE, CEDAR KNOLLS, NJ 07927(973) 401-1100 Get Directions Write a Review

NPPES record last updated: September 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2024, Jul 9, 2017, Jun 19, 2017 (3 updates tracked since 2017).

About Dr. Prem Patel M.d. NPPES

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

DR. PREM PATEL M.D. (NPI 1376073684) is an individual cardiovascular disease provider in Cedar Knolls, New Jersey, licensed in New Jersey (25MA11360900) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376073684
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. PREM PATELCredential: M.D.
Location Address65 RIDGEDALE AVECedar Knolls, NJ 07927-1313
Mailing Address703 Main StPaterson, NJ 07503-2621
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 19, 2017
Last NPPES UpdateSeptember 15, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2024
NPI 1376073684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · 25MA11360900
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 25MA11360900 (NJ)
65 RIDGEDALE AVE, Cedar Knolls, NJ 07927

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. Prem Patel M.d. 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 ID5496138919
PECOS Enrollment IDI20220816003781
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 13

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 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.
127 services66 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
123 services119 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
119 services118 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
95 services95 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
78 services78 patients
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978
This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.
63 services63 patients

Hospital Affiliations CMS Care Compare

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07927 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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
65 RIDGEDALE AVE
CEDAR KNOLLS, NJ 07927
Internal Medicine (Gastroenterology)
65 RIDGEDALE AVE
CEDAR KNOLLS, NJ 07927
Internal Medicine (Interventional Cardiology)
65 RIDGEDALE AVE
CEDAR KNOLLS, NJ 07927
Internal Medicine (Interventional Cardiology)
65 RIDGEDALE AVE
CEDAR KNOLLS, NJ 07927
Internal Medicine (Interventional Cardiology)
65 RIDGEDALE AVE
CEDAR KNOLLS, NJ 07927
Internal Medicine (Interventional Cardiology)
65 RIDGEDALE AVE
CEDAR KNOLLS, NJ 07927
Internal Medicine (Cardiovascular Disease)
65 RIDGEDALE AVE
CEDAR KNOLLS, NJ 07927
Internal Medicine (Cardiovascular Disease)
65 RIDGEDALE AVE
CEDAR KNOLLS, NJ 07927

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 Prem Patel's NPI number?

The NPI number for Prem Patel is 1376073684. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Prem Patel located?

Prem Patel practices at 65 Ridgedale Ave, Cedar Knolls, NJ 07927. The listed phone number is (973) 401-1100.

What is Prem Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Prem Patel enrolled in Medicare?

Yes. Prem 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 Prem Patel affiliated with any hospitals?

According to CMS data, Prem Patel is affiliated with St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Prem Patel was last updated on September 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.