PAYAL SHIVAM PATEL
NPI 1801414917
Nurse Practitioner - Family in Somerville, NJ

Active since July 06, 2020PECOS Enrolled
86.42/100
CMS Quality Rating
56 UNION AVE, SOMERVILLE, NJ 08876(732) 722-5380 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 15, 2021, Apr 26, 2021, Dec 5, 2020 and 3 more (6 updates tracked since 2020).

About Payal Shivam Patel NPPES

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

PAYAL SHIVAM PATEL (NPI 1801414917) is an individual family provider in Somerville, New Jersey, licensed in New Jersey (26NJ01064800) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801414917
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAYAL SHIVAM PATEL
Location Address56 UNION AVESomerville, NJ 08876-2000
Mailing Address56 Union AveSomerville, NJ 08876-2000
Sole ProprietorYes
Enumeration DateJuly 6, 2020
Last NPPES UpdateOctober 23, 20256 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1801414917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ01064800
56 UNION AVE, Somerville, NJ 08876

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Payal Shivam Patel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08876 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.

86.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.04
Promoting Interoperability82
Improvement Activities40
Cost91.69

Other Providers at the Same Location NPPES 13

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

Internal Medicine
56 UNION AVE
SOMERVILLE, NJ 08876
Physician Assistant
56 UNION AVE
SOMERVILLE, NJ 08876
Ophthalmology
56 UNION AVE
SOMERVILLE, NJ 08876
Clinic/Center
56 UNION AVE, SUITE 3
SOMERVILLE, NJ 08876
Specialist
56 UNION AVE
SOMERVILLE, NJ 08876
Physician Assistant
56 UNION AVE
SOMERVILLE, NJ 08876
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
56 UNION AVE
SOMERVILLE, NJ 08876
Ophthalmology
56 UNION AVE
SOMERVILLE, NJ 08876

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 Payal Patel's NPI number?

The NPI number for Payal Patel is 1801414917. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Payal Patel located?

Payal Patel practices at 56 Union Ave, Somerville, NJ 08876. The listed phone number is (732) 722-5380.

What is Payal Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Payal Patel enrolled in Medicare?

Yes. Payal Patel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Payal Patel was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.