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DR. MEHUL M PATEL DO
NPI 1508158056
Internal Medicine - Gastroenterology in Manahawkin, NJ

Active since May 03, 2011PECOS EnrolledAccepts Medicare Assignment
1301 ROUTE 72 W, MANAHAWKIN, NJ 08050(609) 597-6513 Get Directions Write a Review

NPPES record last updated: May 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mehul M Patel Do NPPES

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

DR. MEHUL M PATEL DO (NPI 1508158056) is an individual gastroenterology provider in Manahawkin, New Jersey, licensed in New York (247329) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2004).

NPPES Registry Identity

NPI1508158056
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MEHUL M PATELCredential: DO
Location Address1301 ROUTE 72 WManahawkin, NJ 08050-2483
Mailing Address1301 Route 72 WManahawkin, NJ 08050-2483 · (609) 597-6513
Phone(609) 597-6513
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2004
Enumeration DateMay 3, 2011
✔ NPI 1508158056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 247329
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1301 ROUTE 72 W, Manahawkin, NJ 08050
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Dr. Mehul M 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.

PECOS PAC ID5193994234
PECOS Enrollment IDI20150918002141
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 9

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.
152 services87 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
129 services129 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
110 services109 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.
81 services69 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.
80 services78 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
79 services79 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08050 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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.

SELECT DENTAL MANAHAWKIN, PA
Dentist (General Practice)
1301 ROUTE 72 W, UNIT 230
MANAHAWKIN, NJ 08050
Ocean County (609) 597-1234
MRS. DANA FELICIA PRATOLA MSN, APN
Nurse Practitioner (Adult Health)
1301 ROUTE 72 W, SUITE 340
MANAHAWKIN, NJ 08050
Ocean County (609) 597-0547
FRANK C LABUE MD
Internal Medicine (Gastroenterology)
1301 ROUTE 72 W, SUITE 300
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6513
HELIO J MALINVERNI MD
Internal Medicine (Cardiovascular Disease)
1301 ROUTE 72 W, SUITE 300
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6513
HEALTH VILLAGE IMAGING, LLC
Clinic/Center (Radiology)
1301 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 978-8900
KAREN L KISS NPC
Nurse Practitioner
1301 ROUTE 72 W, SUITE 300
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6513
MEDICAL ASSOCIATES OF OCEAN COUNTY PA
Internal Medicine
1301 ROUTE 72 W, SUITE 300
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6513
DR. MELISSA REYNON MD
Internal Medicine (Gastroenterology)
1301 ROUTE 72 W, SUITE 300
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6513

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 Mehul Patel's NPI number?

The NPI number for Mehul Patel is 1508158056. It was assigned to this individual provider in the NPPES registry on May 3, 2011.

Where is Mehul Patel located?

Mehul Patel practices at 1301 Route 72 W, Manahawkin, NJ 08050. The listed phone number is (609) 597-6513.

What is Mehul Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mehul Patel enrolled in Medicare?

Yes. Mehul 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 Mehul Patel accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Mehul 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.

When was this NPI record last updated?

The NPPES record for Mehul Patel was last updated on May 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.