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DR. SANDHYA R PATIL M.D.
NPI 1801832183
Internal Medicine in Toms River, NJ

Active since June 22, 2006PECOS Enrolled
20 HOSPITAL DR, SUITE 9, TOMS RIVER, NJ 08755(732) 914-9955 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sandhya R Patil M.d. NPPES

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

DR. SANDHYA R PATIL M.D. (NPI 1801832183) is an individual internal medicine provider in Toms River, New Jersey, licensed in New Jersey (MA 55366) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801832183
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SANDHYA R PATILCredential: M.D.
Location Address20 HOSPITAL DR, SUITE 9Toms River, NJ 08755-6434
Mailing Address249 Broad St Apt 404Matawan, NJ 07747-3265 · (732) 914-9955 · Fax (732) 914-9994
Phone(732) 914-9955
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateOctober 22, 2018
✔ NPI 1801832183 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 · MA 55366
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.
20 HOSPITAL DR, Toms River, NJ 08755
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Other Identifiers 1

Other223677249Tin

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sandhya R Patil M.d. 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 08755 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
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%108 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
90%1,039 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
15%394 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%394 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%394 patients1/55-star benchmark: 59%
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.

DR. PRABHAT KUMAR SINHA MD
Internal Medicine
20 HOSPITAL DR, STE 3
TOMS RIVER, NJ 08755
Ocean County (732) 341-9900
EDWARD D FIORE MD PA
Family Medicine
20 HOSPITAL DR, SUITE 12A
TOMS RIVER, NJ 08755
Ocean County (732) 349-2067
ANOOP PORWAL MD
Physical Medicine & Rehabilitation
20 HOSPITAL DR, SUITE 17A
TOMS RIVER, NJ 08755
Ocean County (732) 557-4444
MRS. LEANNA A HAYNES
Social Worker
20 HOSPITAL DR
TOMS RIVER, NJ 08755
Ocean County (732) 831-6094
ANTOINE C. CHAKER, M.D., P.A.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
20 HOSPITAL DR, SUITE 18
TOMS RIVER, NJ 08755
Ocean County (732) 341-7400
DR. ASHOK K PATEL M.D.
Specialist
20 HOSPITAL DR, SUITE 12
TOMS RIVER, NJ 08755
Ocean County (732) 244-2299
DR. PARVEZ MAHMOOD M.D.
Specialist
20 HOSPITAL DR, SUITE 15
TOMS RIVER, NJ 08755
Ocean County (732) 286-6644
MAHMOOD-SCHOR UROLOGY, P.A.
Specialist
20 HOSPITAL DR, SUITE 15
TOMS RIVER, NJ 08755
Ocean County (732) 286-6644

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 Sandhya Patil's NPI number?

The NPI number for Sandhya Patil is 1801832183. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Sandhya Patil located?

Sandhya Patil practices at 20 Hospital Dr Suite 9, Toms River, NJ 08755. The listed phone number is (732) 914-9955.

What is Sandhya Patil's specialty?

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

Is Sandhya Patil enrolled in Medicare?

Yes. Sandhya Patil is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sandhya Patil was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.