ALKA J PATEL M.D.
NPI 1790804201
Emergency Medicine in Plainfield, NJ

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment
1700 MYRTLE AVE, 58, PLAINFIELD, NJ 07063(908) 753-6401(908) 226-6743 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alka J Patel M.d. NPPES

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

ALKA J PATEL M.D. (NPI 1790804201) is an individual emergency medicine provider in Plainfield, New Jersey, licensed in New York (166476) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1790804201
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameALKA J PATELCredential: M.D.
Location Address1700 MYRTLE AVE, 58Plainfield, NJ 07063-1000
Mailing Address1 John Ochs CtSaddle Brook, NJ 07663-5003
Fax(908) 226-6743
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateMarch 28, 2007
Last NPPES UpdateApril 18, 2024
NPPES CertifiedApril 18, 2024
NPI 1790804201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NY · 166476
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1700 MYRTLE AVE, Plainfield, NJ 07063

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

Alka J 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.

PECOS PAC ID6608860085
PECOS Enrollment IDI20040408001490
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 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.

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
48 services47 patients
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.
37 services36 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.
30 services30 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.
25 services24 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07063 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.

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
75%20 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Midwife
1700 MYRTLE AVE, 58
PLAINFIELD, NJ 07063
Dentist
1700 MYRTLE AVE
PLAINFIELD, NJ 07063
Optometrist
1700 MYRTLE AVE
PLAINFIELD, NJ 07063
Pediatrics
1700 MYRTLE AVE
PLAINFIELD, NJ 07063
Internal Medicine
1700 MYRTLE AVE
PLAINFIELD, NJ 07063
Advanced Practice Midwife
1700 MYRTLE AVE
PLAINFIELD, NJ 07063
Internal Medicine
1700 MYRTLE AVE
PLAINFIELD, NJ 07063
Registered Nurse (Pediatrics)
1700 MYRTLE AVE
PLAINFIELD, NJ 07063

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 Alka Patel's NPI number?

The NPI number for Alka Patel is 1790804201. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Alka Patel located?

Alka Patel practices at 1700 Myrtle Ave 58, Plainfield, NJ 07063. The listed phone number is (908) 753-6401.

What is Alka Patel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Alka Patel enrolled in Medicare?

Yes. Alka 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.

When was this NPI record last updated?

The NPPES record for Alka Patel was last updated on April 18, 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.