PALAK S PATEL PA
NPI 1548726441
Physician Assistant - Medical in Berkeley Heights, NJ

Active since February 15, 2019PECOS EnrolledAccepts Medicare Assignment
82.53/100
CMS Quality Rating
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922(908) 277-8640(908) 673-7241 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 4, 2024, Jul 1, 2024, Dec 13, 2023 and 2 more (5 updates tracked since 2019).

About Palak S Patel Pa NPPES

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

PALAK S PATEL PA (NPI 1548726441) is an individual medical provider in Berkeley Heights, New Jersey, licensed in New Jersey (25MP00845800) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Southern Coos Hospital & Health Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1548726441
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NamePALAK S PATELCredential: PA
Location Address1 DIAMOND HILL RDBerkeley Heights, NJ 07922-2104
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300
Fax(908) 673-7241
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 15, 2019
Last NPPES UpdateSeptember 4, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
NPI 1548726441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NJ · 25MP00845800
Also ListedPhysician AssistantTaxonomy 363A00000X · License 50.005890RX (OH)
1 DIAMOND HILL RD, Berkeley Heights, NJ 07922

Other Identifiers 1

Medicaid0344400OH

Accepted 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

Palak S Patel Pa 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 ID7012259989
PECOS Enrollment IDI20241001004635
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 19

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.
127 services98 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
63 services57 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
37 services33 patients
Measurement c-reactive protein for detection of infection or inflammation 86140
C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.
35 services31 patients
Red blood cell sedimentation rate, to detect inflammation, automated 85652
The Red Blood Cell Sedimentation Rate is a test that helps detect inflammation in the body. It's automated, meaning a machine does the work. This test measures how fast red blood cells settle at the bottom of a tube in an hour. A faster rate may indicate inflammation.
34 services30 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.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Southern Coos Hospital & Health Center

Critical Access Hospitals · Bandon, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381304
Location900 11th Street SEBandon, OR 97411 · Coos County
Emergency services

Curry General Hospital

Critical Access Hospitals · Gold Beach, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381322
Location94220 Fourth StreetGold Beach, OR 97444 · Curry County
Emergency services

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.

82.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Internal Medicine (Nephrology)
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Physician Assistant
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Family Medicine
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Internal Medicine (Infectious Disease)
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Physical Therapist
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Internal Medicine
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Physician Assistant (Medical)
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

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 Palak Patel's NPI number?

The NPI number for Palak Patel is 1548726441. It was assigned to this individual provider in the NPPES registry on February 15, 2019.

Where is Palak Patel located?

Palak Patel practices at 1 Diamond Hill Rd, Berkeley Heights, NJ 07922. The listed phone number is (908) 277-8640.

What is Palak Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Palak Patel enrolled in Medicare?

Yes. Palak 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 Palak Patel accept?

Health plans from CareSource list Palak 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 Palak Patel affiliated with any hospitals?

According to CMS data, Palak Patel is affiliated with Southern Coos Hospital & Health Center and Curry General Hospital.

When was this NPI record last updated?

The NPPES record for Palak Patel was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.