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JAIMIN DUDHIA M.D.
NPI 1609261544
Internal Medicine in Summit, NJ

Active since March 30, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
99 BEAUVOIR AVE, SUMMIT, NJ 07901(908) 522-2000 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaimin Dudhia M.d. NPPES

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

JAIMIN DUDHIA M.D. (NPI 1609261544) is an individual internal medicine provider in Summit, New Jersey, licensed in New Jersey (D11249500) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1609261544
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAIMIN DUDHIACredential: M.D.
Location Address99 BEAUVOIR AVESummit, NJ 07901-3533
Mailing Address1945 Nj-33Neptune City, NJ 07753-3533 · (732) 775-5500
Phone(908) 522-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 30, 2015
Last NPPES UpdateSeptember 19, 2019
✔ NPI 1609261544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · D11249500
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
99 BEAUVOIR AVE, Summit, NJ 07901
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Jaimin Dudhia M.d. 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 ID7618223470
PECOS Enrollment IDI20180709002786
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 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.
906 services348 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.
611 services305 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.
254 services252 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.
234 services230 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
52 services52 patients

Hospital Affiliations CMS Care Compare 2

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07901 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%171 patients4/55-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.

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.

DR. LAUREN H IM-IMAMURA D.O,
Family Medicine
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-2000
MEHAK FARRUKH
Student in an Organized Health Care Education/Training Program
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-2000
CYNTHIA E CROSS
Nurse Practitioner (Adult Health)
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (973) 971-5595
DR. OLUMUYIWA ADEDOTUN IBIKUNLE M.D
Internal Medicine
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-2000
SONA KHURANA D.O.
Hospitalist
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-6414
AHS HOSPITAL CORP
General Acute Care Hospital
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (848) 332-1879
JODIE DARLING M.S. RD
Dietitian, Registered
99 BEAUVOIR AVE, BOX 243
SUMMIT, NJ 07901
Union County (908) 522-5756
MRS. MARYNA KUZNETSOV M.D.
Radiology (Diagnostic Radiology)
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-2065

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 Jaimin Dudhia's NPI number?

The NPI number for Jaimin Dudhia is 1609261544. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Jaimin Dudhia located?

Jaimin Dudhia practices at 99 Beauvoir Ave, Summit, NJ 07901. The listed phone number is (908) 522-2000.

What is Jaimin Dudhia's specialty?

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

Is Jaimin Dudhia enrolled in Medicare?

Yes. Jaimin Dudhia 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 Jaimin Dudhia accept?

Health plans from Molina Healthcare list Jaimin Dudhia 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 Jaimin Dudhia affiliated with any hospitals?

According to CMS data, Jaimin Dudhia is affiliated with Jersey Shore University Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Jaimin Dudhia was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.