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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DHAVAL KHALPADA M.D.
NPI 1811376023
Internal Medicine in Trenton, NJ

Active since May 20, 2015PECOS EnrolledAccepts Medicare Assignment
89.52/100
CMS Quality Rating
750 BRUNSWICK AVE, TRENTON, NJ 08638(609) 394-6000 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Jan 28, 2021, Jul 25, 2018 (3 updates tracked since 2018).

About Dhaval Khalpada M.d. NPPES

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

DHAVAL KHALPADA M.D. (NPI 1811376023) is an individual internal medicine provider in Trenton, New Jersey, licensed in New Jersey (25MA13201700) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Jamaica Hospital Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811376023
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDHAVAL KHALPADACredential: M.D.
Location Address750 BRUNSWICK AVETrenton, NJ 08638-4143
Mailing Address750 Brunswick AveTrenton, NJ 08638-4143 · (609) 394-6000
Phone(609) 394-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 20, 2015
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1811376023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NJ · 25MA13201700✔ Licensed in NY · 296036✔ Licensed in OH · 35.134000
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.
750 BRUNSWICK AVE, Trenton, NJ 08638
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18900 Van Wyck ExpyJamaica, NY 11418 · Phone (718) 206-7708
Location 21 Capital WayPennington, NJ 08534-2520 · Phone (609) 303-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Molina Healthcare.Insurance ›

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

Dhaval Khalpada 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 ID9234488131
PECOS Enrollment IDI20181219002698
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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
194 services186 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
79 services74 patients

Hospital Affiliations CMS Care Compare 2

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

Jamaica Hospital Medical Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330014
Location89th Avenue And Van Wyck ExpresswayJamaica, NY 11418 · Queens County
Emergency services Birthing friendly

St John's Episcopal Hospital At South Shore

Acute Care Hospitals · Far Rockaway, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330395
Location327 Beach 19th StreetFar Rockaway, NY 11691 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08638 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.

89.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.34
Promoting Interoperability79
Improvement Activities40
Cost73.91

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.

LAUREN PRICE PA-C
Physician Assistant
750 BRUNSWICK AVE
TRENTON, NJ 08638
Mercer County (609) 396-2600
EMMA LYN VAN OOSTROM PA-C
Physician Assistant
750 BRUNSWICK AVE
TRENTON, NJ 08638
Mercer County (609) 394-6000
DELARAM MOAZAMI MD
Internal Medicine
750 BRUNSWICK AVE
TRENTON, NJ 08638
Mercer County (609) 394-6000
MIRIAM ODURUKWE MD
Student in an Organized Health Care Education/Training Program
750 BRUNSWICK AVE
TRENTON, NJ 08638
Mercer County (609) 394-6031
SEEMA SAKARIA DO
Student in an Organized Health Care Education/Training Program
750 BRUNSWICK AVE
TRENTON, NJ 08638
Mercer County (609) 394-6031
OSMAN ABBASHER
Student in an Organized Health Care Education/Training Program
750 BRUNSWICK AVE
TRENTON, NJ 08638
Mercer County (609) 394-6031
EMERGENCY MEDICAL ASSOCIATES CHS LLC
Emergency Medicine
750 BRUNSWICK AVE, CAPITAL HEALTH REGIONAL MED. CTR. EMERGENCY DEPARTMENT
TRENTON, NJ 08638
Mercer County (469) 401-2386
DMITRIY PODLOG
Emergency Medicine
750 BRUNSWICK AVE
TRENTON, NJ 08638
Mercer County (609) 394-6031

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 Dhaval Khalpada's NPI number?

The NPI number for Dhaval Khalpada is 1811376023. It was assigned to this individual provider in the NPPES registry on May 20, 2015.

Where is Dhaval Khalpada located?

Dhaval Khalpada practices at 750 Brunswick Ave, Trenton, NJ 08638. The listed phone number is (609) 394-6000.

What is Dhaval Khalpada's specialty?

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

Is Dhaval Khalpada enrolled in Medicare?

Yes. Dhaval Khalpada 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.

What insurance does Dhaval Khalpada accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Molina Healthcare list Dhaval Khalpada 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.

Is Dhaval Khalpada affiliated with any hospitals?

According to CMS data, Dhaval Khalpada is affiliated with Jamaica Hospital Medical Center and St John's Episcopal Hospital At South Shore.

When was this NPI record last updated?

The NPPES record for Dhaval Khalpada was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.