OPAL THAKAR MD
NPI 1659792802
Family Medicine in Long Branch, NJ
About Opal Thakar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPAL THAKAR MD (NPI 1659792802) is an individual family medicine provider in Long Branch, New Jersey, licensed in New Jersey (25MA09804000) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Opal Thakar 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.
Medicare Billing Reassignment
Medicare enrollment records show Opal Thakar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 689 clinicians in this Medicare group
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 7
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverview Medical Center
Acute Care Hospitals · Red Bank, NJJersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJMonmouth Medical Center
Acute Care Hospitals · Long Branch, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Opal Thakar's NPI number?
The NPI number for Opal Thakar is 1659792802. It was assigned to this individual provider in the NPPES registry on December 13, 2013.
Where is Opal Thakar located?
Opal Thakar practices at 552 Westwood Ave, Long Branch, NJ 07740. The listed phone number is (732) 222-7800.
What is Opal Thakar's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Opal Thakar enrolled in Medicare?
Yes. Opal Thakar 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 organization bills Medicare for Opal Thakar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Opal Thakar reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). The 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 Opal Thakar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Opal Thakar accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Opal Thakar 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 Opal Thakar affiliated with any hospitals?
According to CMS data, Opal Thakar is affiliated with Riverview Medical Center, Jersey Shore University Medical Center and Monmouth Medical Center.
When was this NPI record last updated?
The NPPES record for Opal Thakar was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Opal Thakar, MD · NPI 1659792802
Family Medicine physician in Long Branch, New Jersey. Individual provider, active in the CMS NPPES registry since December 13, 2013.
## Identity
- **NPI:** 1659792802 (Entity type: Individual)
- **Enumerated:** December 13, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 25MA09804000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 552 WESTWOOD AVE, Long Branch, NJ 07740-5239
- **Phone:** (732) 222-7800 · **Fax:** (732) 571-2075
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hackensack Meridian Health Medical Group - Primary Care PC (NPI 1336203538, Red Bank, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** April 12, 2017
- **Other identifiers:** Medicare PIN 537652WNC (NJ); Medicaid 0534196 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1659792802) · Data from the CMS NPPES public registry.