URMIL PATEL
NPI 1386132603
Hospitalist in Atlantic City, NJ

Active since April 23, 2018PECOS EnrolledAccepts Medicare Assignment
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401(609) 345-4000 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2023, Oct 6, 2022, Apr 23, 2018 (3 updates tracked since 2018).

About Urmil Patel NPPES

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

URMIL PATEL (NPI 1386132603) is an individual hospitalist provider in Atlantic City, New Jersey, licensed in New Jersey (25MA11156100) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Atlanticare Regional Medical Center - City Campus, and maintains a secondary practice location in Pomona.

NPPES Registry Identity

NPI1386132603
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameURMIL PATEL
Location Address1925 PACIFIC AVEAtlantic City, NJ 08401-6713
Mailing Address3705 Starlight CirMays Landing, NJ 08330-3458 · (301) 401-9116
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 23, 2018
Last NPPES UpdateAugust 18, 20233 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
✔ NPI 1386132603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NJ · 25MA11156100
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA11156100 (NJ)
1925 PACIFIC AVE, Atlantic City, NJ 08401

Secondary Practice Location 1

Location 165 W Jimmie Leeds RdPomona, NJ 08240-9102 · Phone (609) 652-1000

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

Urmil Patel 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 ID648674879
PECOS Enrollment IDI20210810001023
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Urmil Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1925 PACIFIC AVE, WELLNESS PAVILLION 5TH FLOOR
Atlantic City, NJ 08401
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
7 S OHIO AVE STE 2100
Atlantic City, NJ 08401
  • Reassigned Medicare billing, New Jersey enrollment
  • 105 clinicians in this Medicare group
Urgent Care
110 E JIMMIE LEEDS RD
Galloway, NJ 08205
  • Reassigned Medicare billing, New Jersey enrollment
  • 921 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.

Areas of Expertise CMS Part B claims 5

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.
343 services160 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
155 services151 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.
152 services116 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.
74 services73 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
47 services47 patients

Hospital Affiliations CMS Care Compare

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

Atlanticare Regional Medical Center - City Campus

Acute Care Hospitals · Atlantic City, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310064
Location1925 Pacific AvenueAtlantic City, NJ 08401 · Atlantic County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08401 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.

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
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Internal Medicine (Gastroenterology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Internal Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Peer Specialist
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Surgery (Trauma Surgery)
1925 PACIFIC AVE, TRAUMA DEPARTMENT
ATLANTIC CITY, NJ 08401
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Radiology (Diagnostic Radiology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401

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 Urmil Patel's NPI number?

The NPI number for Urmil Patel is 1386132603. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Urmil Patel located?

Urmil Patel practices at 1925 Pacific Ave, Atlantic City, NJ 08401. The listed phone number is (609) 345-4000.

What is Urmil Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Urmil Patel enrolled in Medicare?

Yes. Urmil 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 organizations bill Medicare for Urmil Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Urmil Patel reassigns Medicare benefits to 3 organizations: Mastermind Healthcare, LLC (Atlantic City, NJ), Atlanticare Health Services, Inc. (Atlantic City, NJ) and Atlanticare Physician Group, PA (Galloway, NJ). 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 Urmil Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Urmil Patel accept?

Health plans from Oscar Health list Urmil 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.

Is Urmil Patel affiliated with any hospitals?

According to CMS data, Urmil Patel is affiliated with Atlanticare Regional Medical Center - City Campus.

When was this NPI record last updated?

The NPPES record for Urmil Patel was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.