1. Home
  2. Directory
  3. New Jersey
  4. Dayton
  5. Internal Medicine
  6. NPI Profile

GIRISH PRAJAPATI
NPI 1699251926
Internal Medicine in Dayton, NJ

Active since July 19, 2018PECOS EnrolledAccepts Medicare Assignment
12 STULTS RD STE 121, DAYTON, NJ 08810(732) 297-8666 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 5, 2022, Jul 19, 2018 (2 updates tracked since 2018).

About Girish Prajapati NPPES

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

GIRISH PRAJAPATI (NPI 1699251926) is an individual internal medicine provider in Dayton, New Jersey, licensed in New Jersey (25MA11113600) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1699251926
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGIRISH PRAJAPATI
Location Address12 STULTS RD STE 121Dayton, NJ 08810-1549
Mailing Address12 Stults Rd Ste 121Dayton, NJ 08810-1549 · (732) 297-8666
Phone(732) 297-8666
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 19, 2018
Last NPPES UpdateMay 5, 20222 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1699251926 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 · 25MA11113600
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.
12 STULTS RD STE 121, Dayton, NJ 08810
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Girish Prajapati 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 ID6204237654
PECOS Enrollment IDI20210623002324
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 2

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.
41 services25 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.
36 services24 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08810 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.

Other Providers at the Same Location NPPES 2

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

DR. SHIVANI SHARMA MBBS, MD
Internal Medicine
12 STULTS RD STE 121
DAYTON, NJ 08810
Middlesex County (732) 297-8666
DR. ROSHNI CHELLI MD
Internal Medicine
12 STULTS RD STE 121
DAYTON, NJ 08810
Middlesex County (732) 297-8666

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 Girish Prajapati's NPI number?

The NPI number for Girish Prajapati is 1699251926. It was assigned to this individual provider in the NPPES registry on July 19, 2018.

Where is Girish Prajapati located?

Girish Prajapati practices at 12 Stults Rd Ste 121, Dayton, NJ 08810. The listed phone number is (732) 297-8666.

What is Girish Prajapati's specialty?

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

Is Girish Prajapati enrolled in Medicare?

Yes. Girish Prajapati 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 Girish Prajapati accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Girish Prajapati 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 Girish Prajapati affiliated with any hospitals?

According to CMS data, Girish Prajapati is affiliated with Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Girish Prajapati was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.