MRS. MANISHA SAURABH PATEL MD
NPI 1568538213
Internal Medicine - Nephrology in Bridgewater, NJ

Active since November 27, 2006PECOS EnrolledAccepts Medicare Assignment
91.57/100
CMS Quality Rating
23 MONROE ST, BRIDGEWATER, NJ 08807(908) 722-0106(908) 231-1431 Get Directions Write a Review

NPPES record last updated: July 31, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mrs. Manisha Saurabh Patel Md NPPES

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

MRS. MANISHA SAURABH PATEL MD (NPI 1568538213) is an individual nephrology provider in Bridgewater, New Jersey, licensed in New Jersey (25MA06048100) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1568538213
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameMRS. MANISHA SAURABH PATELCredential: MD
Location Address23 MONROE STBridgewater, NJ 08807-3043
Mailing Address23 Monroe StreetBridgewater, NJ 08807-3002 · (908) 722-0106 · Fax (908) 231-1431
Fax(908) 231-1431
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateNovember 27, 2006
Last NPPES UpdateJuly 31, 2013
NPI 1568538213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NJ · 25MA06048100
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
23 MONROE ST, Bridgewater, NJ 08807

Other Identifiers 3

Medicare ID-Type Unspecified530544
Medicaid6289401NJ
Medicare UPINF89670

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

Mrs. Manisha Saurabh 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 ID6901098227
PECOS Enrollment IDI20101007000027
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 14

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.
1,641 services309 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.
340 services196 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
320 services60 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.
238 services187 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
222 services130 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.
165 services157 patients

Hospital Affiliations CMS Care Compare 3

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

Hunterdon Medical Center

Acute Care Hospitals · Flemington, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310005
Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County
Birthing friendly

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08807 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.

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.

91.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality79.21
Improvement Activities40
Cost78.42

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%131 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
75%433 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
30%217 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
91%1,595 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%520 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
31%847 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%761 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
36%450 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 48% · 507 patients
46%507 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 546 patients
Patients totalRate: 0% · 546 patients
0%546 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims720 services$1.54 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers24 claims3,225 services$0.32 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims720 services$0.54 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims1,560 services$0.14 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers35 claims35 services$17.32 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers41 claims42 services$11.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Internal Medicine (Nephrology)
23 MONROE ST
BRIDGEWATER, NJ 08807

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 Manisha Patel's NPI number?

The NPI number for Manisha Patel is 1568538213. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Manisha Patel located?

Manisha Patel practices at 23 Monroe St, Bridgewater, NJ 08807. The listed phone number is (908) 722-0106.

What is Manisha Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Manisha Patel enrolled in Medicare?

Yes. Manisha 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 Manisha Patel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Manisha 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 Manisha Patel affiliated with any hospitals?

According to CMS data, Manisha Patel is affiliated with Hunterdon Medical Center, Robert Wood Johnson University Hospital and Robert Wood Johnson University Hospital - Somerset.

When was this NPI record last updated?

The NPPES record for Manisha Patel was last updated on July 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.