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KARNIK PATEL DO
NPI 1629458088
Internal Medicine in Hoboken, NJ

Active since June 01, 2015PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
108 WASHINGTON ST, HOBOKEN, NJ 07030(201) 656-5688(201) 656-8975 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 7, 2023, Jan 2, 2019, Sep 25, 2018 (3 updates tracked since 2018).

About Karnik Patel Do NPPES

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

KARNIK PATEL DO (NPI 1629458088) is an individual internal medicine provider in Hoboken, New Jersey, licensed in New Jersey (25MB10313700) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Palisades Medical Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2015).

NPPES Registry Identity

NPI1629458088
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKARNIK PATELCredential: DO
Location Address108 WASHINGTON STHoboken, NJ 07030-4659
Mailing Address7600 River RdNorth Bergen, NJ 07047-6217 · (201) 854-5713
Phone(201) 656-5688
Fax(201) 656-8975
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2015
Enumeration DateJune 1, 2015
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
✔ NPI 1629458088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MB10313700
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.
108 WASHINGTON ST, Hoboken, NJ 07030
Open in Google Maps ↗

Other Identifiers 1

OtherD11268900NJ · Cds

Accepted Insurance

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

Karnik 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 ID547514135
PECOS Enrollment IDI20181119000354
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

2

Medicare enrollment records show Karnik Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Palisades Medical Associates LLC
3.8 mi
Internal Medicine
6045 KENNEDY BLVD, PMA
North Bergen, NJ 07047
  • Reassigned Medicare billing, New Jersey enrollment
  • 32 clinicians in this Medicare group
NPI 1558475087 (201) 453-0322
Hackensack Meridian Health Medical Group - Primary Care PC
28 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800

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 8

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.

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.
136 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services72 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.
75 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
73 services73 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
23 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services17 patients

Hospital Affiliations CMS Care Compare

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

Palisades Medical Center

Acute Care Hospitals · North Bergen, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310003
Location7600 River RdNorth Bergen, NJ 07047 · Hudson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07030 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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$22.66 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 8

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

DR. VITO PETRUZZELLA DPM
Podiatrist (Foot & Ankle Surgery)
108 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 659-5222
JUAN PAOLO MURILLO PRUDENTE M.D.
Family Medicine
108 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 656-5688
DR. OLUFUNKE G OLUSHOGA MD
Internal Medicine
108 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 656-5688
LEONARD MICHAEL BALACCO M.D.
Family Medicine
108 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 656-5688
PROMPT PODIATRY MEDICAL MANAGEMENT
Preferred Provider Organization
108 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 659-5222
HOBOKEN FAMILY PRACTICE, PC
Family Medicine
108 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 656-5688
PROMPT FOOT AND ANKLE CARE LLC
Podiatrist (Foot & Ankle Surgery)
108 WASHINGTON ST, 108 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 659-5222
DR. ZAIN NAGARIA MD
Family Medicine
108 WASHINGTON ST
HOBOKEN, NJ 07030
Hudson County (201) 656-5688

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 Karnik Patel's NPI number?

The NPI number for Karnik Patel is 1629458088. It was assigned to this individual provider in the NPPES registry on June 1, 2015.

Where is Karnik Patel located?

Karnik Patel practices at 108 Washington St, Hoboken, NJ 07030. The listed phone number is (201) 656-5688.

What is Karnik Patel's specialty?

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

Is Karnik Patel enrolled in Medicare?

Yes. Karnik 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 Karnik Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karnik Patel reassigns Medicare benefits to 2 organizations: Palisades Medical Associates LLC (North Bergen, NJ) and Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, 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 Karnik Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karnik Patel accept?

Health plans from Ambetter Health and Oscar Health list Karnik 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 Karnik Patel affiliated with any hospitals?

According to CMS data, Karnik Patel is affiliated with Palisades Medical Center.

When was this NPI record last updated?

The NPPES record for Karnik Patel was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.