DR. PARUL PATEL M.D.
NPI 1689991606
Emergency Medicine in Newark, NJ
About Dr. Parul Patel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PARUL PATEL M.D. (NPI 1689991606) is an individual emergency medicine provider in Newark, New Jersey, licensed in New Jersey (25MA08747100) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Parul Patel 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.
Medicare Billing Reassignments
6Medicare enrollment records show Parul Patel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cheraw, SC 29520
- Reassigned Medicare billing, South Carolina enrollment
- 275 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, Georgia enrollment
- 586 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, Alabama and Georgia enrollments
- 428 clinicians in this Medicare group
Covington, GA 30014
- Reassigned Medicare billing, Georgia enrollment
- 63 clinicians in this Medicare group
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Columbus, GA 31904
- Reassigned Medicare billing, Georgia enrollment
- 200 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 4
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Newton Hospital
Acute Care Hospitals · Covington, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEWARK, NJ 07112
NEWARK, NJ 07112
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 Parul Patel's NPI number?
The NPI number for Parul Patel is 1689991606. It was assigned to this individual provider in the NPPES registry on April 29, 2010.
Where is Parul Patel located?
Parul Patel practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (972) 926-7240.
What is Parul Patel's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Parul Patel enrolled in Medicare?
Yes. Parul 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 Parul Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Parul Patel reassigns Medicare benefits to 6 organizations: Mcleod Health Cheraw (Cheraw, SC), Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC), Hospital Physician Services - Southeast Professional Corporation (Monroe, GA), Angelfish Emergency Physicians, LLC (Covington, GA), The Southeast Permanente Medical Group (Atlanta, GA) and 1 more organization, listed in the Medicare section above. 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 Parul Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Parul Patel accept?
Health plans from Oscar Health and Oscar Insurance Company list Parul 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 Parul Patel affiliated with any hospitals?
According to CMS data, Parul Patel is affiliated with Piedmont Newton Hospital.
When was this NPI record last updated?
The NPPES record for Parul Patel was last updated on September 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Parul Patel, M.D. · NPI 1689991606
Emergency Medicine physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since April 29, 2010.
## Identity
- **NPI:** 1689991606 (Entity type: Individual)
- **Enumerated:** April 29, 2010
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 25MA08747100 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 201 LYONS AVE, Newark, NJ 07112-2027
- **Phone:** (972) 926-7240
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Mcleod Health Cheraw (NPI 1275912974, Cheraw, SC); Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC); Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA); Angelfish Emergency Physicians, LLC (NPI 1407259500, Covington, GA); The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 26, 2011
---
Source: [NPI Profile](https://npiprofile.com/npi/1689991606) · Data from the CMS NPPES public registry.