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DIPTIKA PATEL MD
NPI 1417949975
Internal Medicine in Old Bridge, NJ

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment
200 PERRINE RD, SUITE 227, OLD BRIDGE, NJ 08857(732) 727-4780(732) 727-1989 Get Directions Write a Review

NPPES record last updated: March 31, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diptika Patel Md NPPES

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

DIPTIKA PATEL MD (NPI 1417949975) is an individual internal medicine provider in Old Bridge, New Jersey, licensed in New Jersey (25MA03959700) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1417949975
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDIPTIKA PATELCredential: MD
Location Address200 PERRINE RD, SUITE 227Old Bridge, NJ 08857-2842
Mailing Address200 Perrine Rd, Suite 227Old Bridge, NJ 08857-2842 · (732) 727-4780 · Fax (732) 727-1989
Phone(732) 727-4780
Fax(732) 727-1989
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateAugust 19, 2005
Last NPPES UpdateMarch 31, 2014
✔ NPI 1417949975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA03959700
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.
200 PERRINE RD, Old Bridge, NJ 08857
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Other Identifiers 3

Medicare PIN450936NJ
Medicare UPIND96734NJ
Medicaid3207005NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Diptika 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 ID2567458664
PECOS Enrollment IDI20040423000366
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 7

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.
162 services67 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.
70 services39 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
54 services54 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
43 services43 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
39 services39 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08857 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
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
75%1,751 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
35%341 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
20%341 patients2/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers42 claims98 services$5.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers22 claims29 services$0.98 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims1,620 services$0.08 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier11 claims11 services$19.36 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 20

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

MR. SANJEEV NAYYAR MD
Internal Medicine (Gastroenterology)
200 PERRINE RD, SUITE 231
OLD BRIDGE, NJ 08857
Middlesex County (732) 525-0600
WOMENS HEALTHCARE PAVILLION PA
Point of Service
200 PERRINE RD, SUITE 204
OLD BRIDGE, NJ 08857
Middlesex County (732) 707-3545
MEENAKSHI B. PARIKH M. D.
Pediatrics
200 PERRINE RD, SUITE # 223
OLD BRIDGE, NJ 08857
Middlesex County (732) 727-1818
REHABILITATION AND ELECTRODIAGNOSTICS INC
Specialist
200 PERRINE RD, SUITE 211
OLD BRIDGE, NJ 08857
Middlesex County (732) 553-1000
KAJAL GANDHI NURSE PRACTITIONER
Nurse Practitioner (Family)
200 PERRINE RD
OLD BRIDGE, NJ 08857
Middlesex County (732) 264-1163
DR. MARITZA GEORGETTE PARRENO M.D.
Internal Medicine
200 PERRINE RD, SUITE 220
OLD BRIDGE, NJ 08857
Middlesex County (732) 721-1600
GARDEN STATE GASTROENTEROLOGY,PC
Internal Medicine (Gastroenterology)
200 PERRINE RD, SUITE 231
OLD BRIDGE, NJ 08857
Middlesex County (732) 525-0600
SEEMA NAYYAR DO, INC
Anesthesiology
200 PERRINE RD, SUITE 231
OLD BRIDGE, NJ 08857
Middlesex County (732) 525-0600

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 Diptika Patel's NPI number?

The NPI number for Diptika Patel is 1417949975. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Diptika Patel located?

Diptika Patel practices at 200 Perrine Rd Suite 227, Old Bridge, NJ 08857. The listed phone number is (732) 727-4780.

What is Diptika Patel's specialty?

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

Is Diptika Patel enrolled in Medicare?

Yes. Diptika 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.

What insurance does Diptika Patel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Diptika 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 Diptika Patel affiliated with any hospitals?

According to CMS data, Diptika Patel is affiliated with Raritan Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Diptika Patel was last updated on March 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.