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DR. PANKAJ HARJI PATEL MD, FACS
NPI 1407816721
Surgery - Trauma Surgery in Atlantic City, NJ

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401(609) 441-8023 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2024, Dec 9, 2020, May 29, 2019 (3 updates tracked since 2019).

About Dr. Pankaj Harji Patel Md, Facs NPPES

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

DR. PANKAJ HARJI PATEL MD, FACS (NPI 1407816721) is an individual trauma surgery provider in Atlantic City, New Jersey, licensed in New Jersey (25MA06896800) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Regional Medical Center Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1407816721
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameDR. PANKAJ HARJI PATELCredential: MD, FACS
Location Address1925 PACIFIC AVEAtlantic City, NJ 08401-6713
Mailing Address1100 Walnut St, Suite 500Philadelphia, PA 19107-5563 · (215) 955-6760 · Fax (215) 923-8222
Phone(609) 441-8023
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1991
Enumeration DateMarch 23, 2006
Last NPPES UpdateJune 24, 20243 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1407816721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
Licenses✔ Licensed in NJ · 25MA06896800✔ Licensed in NY · 25MA06896800
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedSurgeryTaxonomy 208600000X · License MD-059559-L (PA)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License MD-059559-L (PA)
1925 PACIFIC AVE, Atlantic City, NJ 08401
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Secondary Practice Locations 3

Location 1750 Brunswick AveTrenton, NJ 08638-4143 · Phone (609) 394-6000
Location 21100 Walnut St, Suite 500Philadelphia, PA 19107-5563 · Phone (215) 955-6750 · Fax (215) 923-8222
Location 32 Capital Way Ste 356Pennington, NJ 08534-2521 · Phone (609) 537-6000 · Fax (609) 537-6002

Other Identifiers 17

Medicaid0001021401DE
Other170856PA · Unison-wmg
Other1758618PA · Highmark Blue Shield
Medicaid8531901NJ
Other2423575000PA · Amerihealth 65 Pa
Medicaid02316296NY
Other50053498PA · Capital Blue Cross-wmg
MedicaidQ06003SC
Other63568PA · Geisinger
Other20045808PA · Amerihealth Mercy-wmg
Other7391171PA · Aetna
Medicaid001871486PA
Other392055PA · Mamsi-wmg
Medicaid683403500MD
OtherP00251486PA · Railroad Medicare
Other1547026PA · Gateway-wmg
Other647030MD · Carefirst Md Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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. Pankaj Harji Patel Md, Facs 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 ID1355374992
PECOS Enrollment IDI20050914001171, I20190610001469
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

5

Medicare enrollment records show Pankaj Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atlanticare Physician Group, PA
10 mi
Urgent Care
110 E JIMMIE LEEDS RD
Galloway, NJ 08205
  • Reassigned Medicare billing, New Jersey enrollment
  • 921 clinicians in this Medicare group
NPI 1003820622 (609) 748-2100
Prospect Health Access Network, Inc.
59 mi
Hospitalist
175 E CHESTER PIKE
Ridley Park, PA 19078
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
NPI 1235584731 (610) 595-6586
Einstein Practice Plan, Inc
59 mi
Obstetrics & Gynecology
101 E OLNEY AVE, SUITE 400
Philadelphia, PA 19120
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
NPI 1154355220 (215) 456-7000
Capital Health Medical Group
63 mi
Internal Medicine
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 581 clinicians in this Medicare group
NPI 1437516887 (609) 815-7829
Capital Health Multispecialty Group
63 mi
Surgery
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 600 clinicians in this Medicare group
NPI 1083072342 (609) 394-6000

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 4

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.
84 services49 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.
48 services48 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.
30 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Cape Regional Medical Center Inc

Acute Care Hospitals · Cape May Court House, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310011
LocationTwo Stone Harbor BlvdCape May Court House, NJ 08210 · Cape May County
Emergency services

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

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

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.

NEWAZ MOHAMMED HOSSAIN MD
Internal Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 441-8146
JITEN DESAI
Internal Medicine (Gastroenterology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 652-1000
EMAAN SALAM MD
Internal Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (188) 856-9100
CHERYL LYNN HEINZ
Peer Specialist
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 703-7422
MANISHA KHATIWALA MD
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 345-4000
KELLY MARIE WILLMAN M.D.
Surgery (Trauma Surgery)
1925 PACIFIC AVE, TRAUMA DEPARTMENT
ATLANTIC CITY, NJ 08401
Atlantic County (609) 441-8023
MARIE FARNSWORTH
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 345-4000
RAJESH I PATEL MD
Radiology (Diagnostic Radiology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 677-9729

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 Pankaj Patel's NPI number?

The NPI number for Pankaj Patel is 1407816721. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Pankaj Patel located?

Pankaj Patel practices at 1925 Pacific Ave, Atlantic City, NJ 08401. The listed phone number is (609) 441-8023.

What is Pankaj Patel's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Pankaj Patel enrolled in Medicare?

Yes. Pankaj 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 Pankaj Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pankaj Patel reassigns Medicare benefits to 5 organizations: Atlanticare Physician Group, PA (Galloway, NJ), Prospect Health Access Network, Inc. (Ridley Park, PA), Einstein Practice Plan, Inc (Philadelphia, PA), Capital Health Medical Group (Trenton, NJ) and Capital Health Multispecialty Group (Trenton, 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 Pankaj Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pankaj Patel accept?

Health plans from Oscar Health list Pankaj 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 Pankaj Patel affiliated with any hospitals?

According to CMS data, Pankaj Patel is affiliated with Cape Regional Medical Center Inc, Atlanticare Regional Medical Center - City Campus and Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Pankaj Patel was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.