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KIRAN D PATEL PMHNP-BC
NPI 1790417152
Nurse Practitioner - Psychiatric/Mental Health in Monmouth Junction, NJ

Active since June 25, 2022PECOS EnrolledAccepts Medicare Assignment
407 ROYAL OAKS CT, MONMOUTH JUNCTION, NJ 08852(551) 697-9971 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kiran D Patel Pmhnp-bc NPPES

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

KIRAN D PATEL PMHNP-BC (NPI 1790417152) is an individual psychiatric/mental health provider in Monmouth Junction, New Jersey, licensed in New Jersey (26NJ01327200) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790417152
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKIRAN D PATELCredential: PMHNP-BC
Location Address407 ROYAL OAKS CTMonmouth Junction, NJ 08852-2202
Mailing Address1527 State Route 27 Ste 1600Somerset, NJ 08873-3905 · (551) 697-9971
Phone(551) 697-9971
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 25, 2022
Last NPPES UpdateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
✔ NPI 1790417152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ01327200
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 26NJ01327200 (NJ)
407 ROYAL OAKS CT, Monmouth Junction, NJ 08852
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Accepted Insurance

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

Kiran D Patel Pmhnp-bc 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 ID6103298617
PECOS Enrollment IDI20230209002464
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 Kiran Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shivshakti Psychiatry Care LLC
3.5 mi
Mental Health (Including Community Mental Health Center)
1527 STATE ROUTE 27 STE 1600
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
NPI 1881375707 (732) 712-3787
Stress Care Of New Jersey, LLC
13 mi
Community/Behavioral Health
4122 ROUTE 516
Matawan, NJ 07747
  • Reassigned Medicare billing, New Jersey enrollment
  • 112 clinicians in this Medicare group
NPI 1033433834 (732) 679-4500

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 5

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.
239 services64 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
127 services57 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.
113 services52 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
75 services75 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
24 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08852 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

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 Kiran Patel's NPI number?

The NPI number for Kiran Patel is 1790417152. It was assigned to this individual provider in the NPPES registry on June 25, 2022.

Where is Kiran Patel located?

Kiran Patel practices at 407 Royal Oaks Ct, Monmouth Junction, NJ 08852. The listed phone number is (551) 697-9971.

What is Kiran Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kiran Patel enrolled in Medicare?

Yes. Kiran 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 Kiran Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiran Patel reassigns Medicare benefits to 2 organizations: Shivshakti Psychiatry Care LLC (Somerset, NJ) and Stress Care Of New Jersey, LLC (Matawan, 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 Kiran Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kiran Patel accept?

Health plans from Oscar Health list Kiran 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.

When was this NPI record last updated?

The NPPES record for Kiran Patel was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.