DR. ANUP PATEL DPM
NPI 1811287527
Podiatrist - Foot & Ankle Surgery in East Brunswick, NJ

Active since April 14, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
G12 BRIER HILL CT, EAST BRUNSWICK, NJ 08816(732) 432-7250(732) 898-1114 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2021, Mar 12, 2021, Mar 5, 2021 and 2 more (5 updates tracked since 2020).

About Dr. Anup Patel Dpm NPPES

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

DR. ANUP PATEL DPM (NPI 1811287527) is an individual foot & ankle surgery provider in East Brunswick, New Jersey, licensed in New Jersey (25MD00311500) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1811287527
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. ANUP PATELCredential: DPM
Location AddressG12 BRIER HILL CTEast Brunswick, NJ 08816-3338
Mailing AddressG12 Brier Hill CtEast Brunswick, NJ 08816-3338 · (732) 432-7250 · Fax (732) 898-1114
Fax(732) 898-1114
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 14, 2011
Last NPPES UpdateMarch 31, 20215 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1811287527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in NJ · 25MD00311500
G12 BRIER HILL CT, East Brunswick, NJ 08816

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

Dr. Anup Patel Dpm 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 ID3678738606
PECOS Enrollment IDI20120626000066
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 23

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.
1,176 services388 patients
Removal of noncancer thickened skin growth, more than 4 growths 11057
This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.
788 services358 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
752 services335 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
751 services334 patients
Cast supplies, short leg cast, adult (11 years +), fiberglass Q4038
A short leg cast, made of fiberglass, is used for adults and children aged 11 and up. It's a supportive structure for the lower leg, often used when a bone is broken. The fiberglass material is lightweight, durable, and can be molded to fit your leg comfortably.
504 services182 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
465 services303 patients

Hospital Affiliations CMS Care Compare

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

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
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%1,452 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
100%763 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
100%763 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%6,033 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,986 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%2,321 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,343 patients
100%1,343 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier18 claims1,288 services$0.37 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier47 claims94 services$60.01 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
1 supplier46 claims273 services$37.45 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier23 claims690 services$20.32 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard A6443
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims390 services$0.27 avg. paid by Medicare
Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment L1971
DME-Orthotic Devices · category DF003N
1 supplier24 claims32 services$381.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Podiatrist (Foot & Ankle Surgery)
G12 BRIER HILL CT
EAST BRUNSWICK, NJ 08816
Podiatrist (Foot & Ankle Surgery)
G12 BRIER HILL CT
EAST BRUNSWICK, NJ 08816

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 Anup Patel's NPI number?

The NPI number for Anup Patel is 1811287527. It was assigned to this individual provider in the NPPES registry on April 14, 2011.

Where is Anup Patel located?

Anup Patel practices at G12 Brier Hill Ct, East Brunswick, NJ 08816. The listed phone number is (732) 432-7250.

What is Anup Patel's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Anup Patel enrolled in Medicare?

Yes. Anup 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 Anup Patel affiliated with any hospitals?

According to CMS data, Anup Patel is affiliated with Raritan Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Anup Patel was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.