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SACHINKUMAR M PATEL
NPI 1811589641
Nurse Practitioner in Somerset, NJ

Active since February 03, 2021PECOS EnrolledAccepts Medicare Assignment
1323 STATE ROUTE 27 STE G, SOMERSET, NJ 08873(732) 467-3400(732) 943-1212 Get Directions Write a Review

NPPES record last updated: January 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2026, Feb 3, 2021 (2 updates tracked since 2021).

About Sachinkumar M Patel NPPES

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

SACHINKUMAR M PATEL (NPI 1811589641) is an individual nurse practitioner in Somerset, New Jersey, licensed in New Jersey (26NJ01111400) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1811589641
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameSACHINKUMAR M PATEL
Location Address1323 STATE ROUTE 27 STE GSomerset, NJ 08873-3457
Mailing Address1323 State Route 27 Ste GSomerset, NJ 08873-3457 · (732) 467-3400 · Fax (732) 943-1212
Phone(732) 467-3400
Fax(732) 943-1212
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 3, 2021
Last NPPES UpdateJanuary 4, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2026
✔ NPI 1811589641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ01111400
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1323 STATE ROUTE 27 STE G, Somerset, NJ 08873
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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

Sachinkumar M Patel 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 ID547643058
PECOS Enrollment IDI20220816003384
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 10

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.
260 services64 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
186 services29 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.
47 services47 patients
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506
This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.
41 services39 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
40 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
36 services36 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08873 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.

Other Providers at the Same Location NPPES

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

SOMERSET PRIMARY CARE LLC
Clinic/Center (Primary Care)
1323 STATE ROUTE 27 STE G
SOMERSET, NJ 08873
Somerset County (732) 467-3400

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 Sachinkumar Patel's NPI number?

The NPI number for Sachinkumar Patel is 1811589641. It was assigned to this individual provider in the NPPES registry on February 3, 2021.

Where is Sachinkumar Patel located?

Sachinkumar Patel practices at 1323 State Route 27 Ste G, Somerset, NJ 08873. The listed phone number is (732) 467-3400.

What is Sachinkumar Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sachinkumar Patel enrolled in Medicare?

Yes. Sachinkumar 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 Sachinkumar Patel affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Sachinkumar Patel was last updated on January 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.