VISHAAL PATEL MD
NPI 1790278372
Otolaryngology in Neptune, NJ

Q: What is Vishaal Patel's NPI number?

The NPI number for Vishaal Patel is 1790278372. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Q: What is Vishaal Patel's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Vishaal Patel was last updated on January 26, 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.

Active since June 08, 2018PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

3700 ROUTE 33, SUITE 101, NEPTUNE, NJ 07753(732) 280-7855(732) 280-7815 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Vishaal Patel Md NPPES

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

VISHAAL PATEL MD (NPI 1790278372) is an individual otolaryngology provider in Neptune, New Jersey, licensed in New Jersey (25MA11691100) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of University Of Pittsburgh School Of Medicine (2018).

NPPES Registry Identity

NPI1790278372

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameVISHAAL PATELCredential: MD

Location Address3700 ROUTE 33, SUITE 101Neptune, NJ 07753

Mailing Address3700 Route 33, Suite 101Neptune, NJ 07753-5104 · (732) 280-7855 · Fax (732) 280-7815

Phone(732) 280-7855

Fax(732) 280-7815

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2018

Enumeration DateJune 8, 2018

Last NPPES UpdateJanuary 26, 2023

NPPES CertifiedJanuary 23, 2023

✔ NPI 1790278372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in NJ · 25MA11691100

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

3700 ROUTE 33, Neptune, NJ 07753

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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

Vishaal Patel 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.

PECOS PAC ID6507113610

PECOS Enrollment IDI20230210001512

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 12

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.

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.

466 services325 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

243 services243 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

214 services179 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

131 services113 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

97 services82 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

96 services85 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.

37 services32 patients

Simple control of nose bleed 30901

Simple control of a nose bleed involves leaning forward slightly to prevent blood from flowing down the throat. Pinch your nostrils together and breathe through your mouth. This pressure can help the blood clot and stop the bleeding. Avoid lying down or blowing your nose.

20 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Diagnostic exam of voice box using a flexible endoscope 31575

13 services11 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

12 services12 patients

Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope 42975

This procedure examines your upper airway for sleep-related breathing issues. An endoscope, a thin tube with a light and camera, is gently inserted through your nose. This allows a detailed view of your airway to identify any abnormalities that could disrupt your sleep.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310034

LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County

Emergency services Birthing friendly

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

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310075

Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County

Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310111

Location901 West Main StreetFreehold, NJ 07728 · Monmouth County

Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310112

Location727 N Beers StHolmdel, NJ 07733 · Monmouth County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

LYDIA ANNE HAWK PA-C

Physician Assistant

3700 ROUTE 33, SUITE 101
NEPTUNE, NJ 07753

Monmouth County (732) 280-7855

DR. SAMUEL H ENGEL M.D.

Otolaryngology

3700 ROUTE 33, SUITE 101
NEPTUNE, NJ 07753

Monmouth County (732) 280-7855

JOSEPH TULINO PA

Physician Assistant

3700 ROUTE 33, SUITE 101
NEPTUNE, NJ 07753

Monmouth County (732) 280-7855

DAVID OCZOS DO

Family Medicine (Sleep Medicine)

3700 ROUTE 33, SUITE C, 2ND FLOOR
NEPTUNE, NJ 07753

Monmouth County (732) 362-3663

BROOKE MASON PA

Physician Assistant

3700 ROUTE 33, STE101
NEPTUNE, NJ 07753

Monmouth County (732) 280-7855

DANIELLE M. BARAN AUD

Audiologist

3700 ROUTE 33, SUITE 101
NEPTUNE, NJ 07753

Monmouth County (732) 280-7855

VICTORIA M BONES MD

Otolaryngology

3700 ROUTE 33, SUITE 202
NEPTUNE, NJ 07753

Monmouth County (973) 769-3217

COURTNEY CASLER CIERI AUD

Audiologist

3700 ROUTE 33, SUITE 101
NEPTUNE, NJ 07753

Monmouth County (732) 280-7855

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 Vishaal Patel's NPI number?

The NPI number for Vishaal Patel is 1790278372. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Where is Vishaal Patel located?

Vishaal Patel practices at 3700 Route 33 Suite 101, Neptune, NJ 07753. The listed phone number is (732) 280-7855.

What is Vishaal Patel's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Vishaal Patel enrolled in Medicare?

Yes. Vishaal 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.

Is Vishaal Patel affiliated with any hospitals?

According to CMS data, Vishaal Patel is affiliated with Riverview Medical Center, Jersey Shore University Medical Center, Monmouth Medical Center, Centrastate Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Vishaal Patel was last updated on January 26, 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.