DR. KAVAN GIRISHBHAI PATEL M.D.
NPI 1437541406
Internal Medicine - Gastroenterology in Toms River, NJ
About Dr. Kavan Girishbhai Patel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAVAN GIRISHBHAI PATEL M.D. (NPI 1437541406) is an individual gastroenterology provider in Toms River, New Jersey, licensed in New Jersey (MA10103400) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kavan Girishbhai Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
10Medicare enrollment records show Kavan Patel reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Toms River, NJ 08755
- Reassigned Medicare billing, New Jersey enrollment
- 10 clinicians in this Medicare group
Staten Island, NY 10310
- Reassigned Medicare billing, New York enrollment
- 305 clinicians in this Medicare group
Schenectady, NY 12308
- Reassigned Medicare billing, New York enrollment
- 462 clinicians in this Medicare group
Carbondale, IL 62901
- Reassigned Medicare billing, Illinois enrollment
- 702 clinicians in this Medicare group
Muscatine, IA 52761
- Reassigned Medicare billing, Iowa enrollment
- 1,506 clinicians in this Medicare group
Sumner, IA 50674
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1780684548 (Iowa)
- 41 clinicians in this Medicare group
Waterloo, IA 50703
- Reassigned Medicare billing, Iowa enrollment
- 273 clinicians in this Medicare group
Waterloo, IA 50701
- Reassigned Medicare billing, Iowa enrollment
- 31 clinicians in this Medicare group
Waverly, IA 50677
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1033125463 (Iowa)
- 66 clinicians in this Medicare group
Webster City, IA 50595
- Reassigned Medicare billing, Iowa enrollment
- 387 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 10
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Herrin Hospital
Acute Care Hospitals · Herrin, ILTrinity Regional Medical Center
Acute Care Hospitals · Fort Dodge, IAAllen Hospital
Acute Care Hospitals · Waterloo, IAHumboldt County Memorial Hospital
Critical Access Hospitals · Humboldt, IAWaverly Health Center
Critical Access Hospitals · Waverly, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TOMS RIVER, NJ 08755
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 Kavan Patel's NPI number?
The NPI number for Kavan Patel is 1437541406. It was assigned to this individual provider in the NPPES registry on February 26, 2015.
Where is Kavan Patel located?
Kavan Patel practices at 425 Lakehurst Rd, Toms River, NJ 08755. The listed phone number is (732) 281-1590.
What is Kavan Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Kavan Patel enrolled in Medicare?
Yes. Kavan Patel is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kavan Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kavan Patel reassigns Medicare benefits to 10 organizations: Ocean Family Gastroenterology PC (Toms River, NJ), Amboy Medical Practice PC (Staten Island, NY), Ellis Hospital (Schenectady, NY), Southern Illinois Medical Services, Nfp (Carbondale, IL), Iowa Physicians Clinic Medical Foundation (Muscatine, IA) and 5 more organizations, listed in the Medicare section above. 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 Kavan Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kavan Patel accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Dean Health Plan and 4 other insurers list Kavan 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 Kavan Patel affiliated with any hospitals?
According to CMS data, Kavan Patel is affiliated with Herrin Hospital, Trinity Regional Medical Center, Allen Hospital, Humboldt County Memorial Hospital and Waverly Health Center.
When was this NPI record last updated?
The NPPES record for Kavan Patel was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Dr. Kavan Girishbhai Patel, M.D. · NPI 1437541406
Gastroenterology physician in Toms River, New Jersey. Individual provider, active in the CMS NPPES registry since February 26, 2015.
## Identity
- **NPI:** 1437541406 (Entity type: Individual)
- **Enumerated:** February 26, 2015
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** MA10103400 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 425 LAKEHURST RD, Toms River, NJ 08755
- **Phone:** (732) 281-1590
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Ocean Family Gastroenterology PC (NPI 1831238955, Toms River, NJ); Amboy Medical Practice PC (NPI 1104692672, Staten Island, NY); Ellis Hospital (NPI 1487644993, Schenectady, NY); Southern Illinois Medical Services, Nfp (NPI 1770656837, Carbondale, IL); Iowa Physicians Clinic Medical Foundation (NPI 1982831426, Muscatine, IA); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** April 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1437541406) · Data from the CMS NPPES public registry.