1. Home
  2. Directory
  3. New Jersey
  4. Montville
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PARTH PATEL MD
NPI 1558854331
Internal Medicine in Montville, NJ

Active since June 07, 2018PECOS EnrolledAccepts Medicare Assignment
115 HORSENECK RD STE 103, MONTVILLE, NJ 07045(973) 506-2443(973) 869-2517 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2026, Mar 27, 2025 (2 updates tracked since 2025).

About Parth Patel Md NPPES

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

PARTH PATEL MD (NPI 1558854331) is an individual internal medicine provider in Montville, New Jersey, licensed in New Jersey (25MA11099900) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1558854331
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePARTH PATELCredential: MD
Location Address115 HORSENECK RD STE 103Montville, NJ 07045-0019
Mailing Address115 Horseneck Rd Ste 103Montville, NJ 07045-0019 · (973) 506-2443 · Fax (973) 869-2517
Phone(973) 506-2443
Fax(973) 869-2517
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 7, 2018
Last NPPES UpdateSeptember 30, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1558854331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NJ · 25MA11099900✔ Licensed in PA · MT215915
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
115 HORSENECK RD STE 103, Montville, NJ 07045
Open in Google Maps ↗

Other Identifiers 1

Medicaid0843385NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Parth 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 ID9032466446
PECOS Enrollment IDI20210825001274
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 Reassignments

3

Medicare enrollment records show Parth Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Parth N Patel MD LLC
Same address
Internal Medicine
115 HORSENECK RD STE 103
Montville, NJ 07045
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1750256079 (669) 900-5721
Rwjbh Observation Associates LLC
9.2 mi
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
NPI 1760095806 (888) 724-7123
Rwjbh Emergency Medicine Associates, LLC
25 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618

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 5

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
977 services299 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
215 services206 patients
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.
104 services63 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services41 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
28 services27 patients

Hospital Affiliations CMS Care Compare

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

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07045 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES

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

PARTH N PATEL MD LLC
Internal Medicine
115 HORSENECK RD STE 103
MONTVILLE, NJ 07045
Morris County (669) 900-5721

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 Parth Patel's NPI number?

The NPI number for Parth Patel is 1558854331. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Where is Parth Patel located?

Parth Patel practices at 115 Horseneck Rd Ste 103, Montville, NJ 07045. The listed phone number is (973) 506-2443.

What is Parth Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Parth Patel enrolled in Medicare?

Yes. Parth 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 organizations bill Medicare for Parth Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Parth Patel reassigns Medicare benefits to 3 organizations: Parth N Patel MD LLC (Montville, NJ), Rwjbh Observation Associates LLC (Livingston, NJ) and Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ). 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 Parth Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Parth Patel accept?

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

According to CMS data, Parth Patel is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Parth Patel was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.