DR. MOHINI PATEL MD
NPI 1487278446
Family Medicine in East Brunswick, NJ

Active since June 04, 2020PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
579 CRANBURY RD STE A, EAST BRUNSWICK, NJ 08816(732) 238-6800 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 2, 2024, Jun 4, 2020 (2 updates tracked since 2020).

About Dr. Mohini Patel Md NPPES

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

DR. MOHINI PATEL MD (NPI 1487278446) is an individual family medicine provider in East Brunswick, New Jersey, licensed in New Jersey (25MA11904900) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1487278446
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MOHINI PATELCredential: MD
Location Address579 CRANBURY RD STE AEast Brunswick, NJ 08816-5405
Mailing Address579 Cranbury Rd Ste AEast Brunswick, NJ 08816-5405 · (732) 238-6800
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 4, 2020
Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1487278446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA11904900
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA11904900 (NJ)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116033832 (VA)
579 CRANBURY RD STE A, East Brunswick, NJ 08816

Other Identifiers 1

Other2007Q00000XVA · Family Medicine

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

Dr. Mohini 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 ID7214354307
PECOS Enrollment IDI20231010001189
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 Reassignment

Medicare enrollment records show Mohini Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 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 3

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 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.
142 services79 patients
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.
53 services47 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.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08816 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Pediatrics (Pediatric Pulmonology)
579 CRANBURY RD STE A
EAST BRUNSWICK, NJ 08816
Physical Therapist
579 CRANBURY RD STE A
EAST BRUNSWICK, NJ 08816

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 Mohini Patel's NPI number?

The NPI number for Mohini Patel is 1487278446. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Mohini Patel located?

Mohini Patel practices at 579 Cranbury Rd Ste A, East Brunswick, NJ 08816. The listed phone number is (732) 238-6800.

What is Mohini Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mohini Patel enrolled in Medicare?

Yes. Mohini 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 organization bills Medicare for Mohini Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohini Patel reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). The 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 Mohini Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohini Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Mohini 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 Mohini Patel affiliated with any hospitals?

According to CMS data, Mohini Patel is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Mohini Patel was last updated on January 2, 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.