DR. NEHI PATEL DO
NPI 1497331136
Family Medicine - Sports Medicine in Somerset, NJ
About Dr. Nehi Patel Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NEHI PATEL DO (NPI 1497331136) is an individual sports medicine provider in Somerset, New Jersey, licensed in New Jersey (25MB12583000) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Rowan University School Of Osteopathic Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
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. Nehi Patel Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Nehi Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 287 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph's University Medical Center Inc
Acute Care Hospitals · Paterson, NJRobert Wood Johnson University Hospital - Somerset
Acute Care Hospitals · Somerville, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08873 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SOMERSET, NJ 08873
SOMERSET, NJ 08873
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 Nehi Patel's NPI number?
The NPI number for Nehi Patel is 1497331136. It was assigned to this individual provider in the NPPES registry on March 23, 2021.
Where is Nehi Patel located?
Nehi Patel practices at 2 Worlds Fair Dr, Somerset, NJ 08873. The listed phone number is (732) 537-0909.
What is Nehi Patel's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.
Is Nehi Patel enrolled in Medicare?
Yes. Nehi 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 Nehi Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nehi Patel reassigns Medicare benefits to Orthonj LLC (Somerset, 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 Nehi Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nehi Patel accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Nehi 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 Nehi Patel affiliated with any hospitals?
According to CMS data, Nehi Patel is affiliated with St Joseph's University Medical Center Inc and Robert Wood Johnson University Hospital - Somerset.
When was this NPI record last updated?
The NPPES record for Nehi Patel was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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. Nehi Patel, DO · NPI 1497331136
Sports Medicine physician in Somerset, New Jersey. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1497331136 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Family Medicine - Sports Medicine · taxonomy 207QS0010X
- **State license:** 25MB12583000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 2 WORLDS FAIR DR, Somerset, NJ 08873-1369
- **Phone:** (732) 537-0909
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Orthonj LLC (NPI 1720557432, Somerset, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rowan University School Of Osteopathic Medicine, class of 2021
## Record status
- **NPPES last updated:** August 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1497331136) · Data from the CMS NPPES public registry.