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SHIVANI NITIN PATEL MD
NPI 1831659580
Internal Medicine - Endocrinology, Diabetes & Metabolism in Toms River, NJ

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
780 ROUTE 37 W STE 110, TOMS RIVER, NJ 08755(848) 317-8152(848) 317-8188 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 1, 2026, Sep 19, 2025, Mar 20, 2019 (3 updates tracked since 2019).

About Shivani Nitin Patel Md NPPES

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

SHIVANI NITIN PATEL MD (NPI 1831659580) is an individual endocrinology, diabetes & metabolism provider in Toms River, New Jersey, licensed in New Jersey (25MA12228300) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1831659580
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSHIVANI NITIN PATELCredential: MD
Location Address780 ROUTE 37 W STE 110Toms River, NJ 08755-5059
Mailing Address780 Route 37 W Ste 110Toms River, NJ 08755-5059 · (848) 217-8152 · Fax (848) 317-8188
Phone(848) 317-8152
Fax(848) 317-8188
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateApril 1, 20263 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1831659580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NJ · 25MA12228300
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
780 ROUTE 37 W STE 110, Toms River, NJ 08755
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shivani Nitin Patel Md 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 ID8820476567
PECOS Enrollment IDI20240712004010
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shivani Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Honesticare LLC
Same address
Specialist
780 ROUTE 37 W STE 110
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1548132558 (312) 731-9656
Specialty Medconsultants LLC
46 mi
Nephrology
6725 VENTNOR AVE, STE C
Ventnor City, NJ 08406
  • Reassigned Medicare billing, New Jersey enrollment
  • 28 clinicians in this Medicare group
NPI 1831520931 (609) 350-6780
The Radiology Group Of New Jersey, LLC
69 mi
Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 clinicians in this Medicare group
NPI 1174010540 (908) 979-1621

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
179 services122 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
61 services46 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 services41 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250
This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Shore Medical Center

Acute Care Hospitals · Somers Point, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310047
Location100 Medical Center WaySomers Point, NJ 08244 · Atlantic County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

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.

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.

HONESTICARE LLC
Specialist
780 ROUTE 37 W STE 110
TOMS RIVER, NJ 08755
Ocean County (312) 731-9656
DR. NIGAM DHARMENDRA PATEL MD
Internal Medicine (Rheumatology)
780 ROUTE 37 W STE 110
TOMS RIVER, NJ 08755
Ocean County (848) 317-8152

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 Shivani Patel's NPI number?

The NPI number for Shivani Patel is 1831659580. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Shivani Patel located?

Shivani Patel practices at 780 Route 37 W Ste 110, Toms River, NJ 08755. The listed phone number is (848) 317-8152.

What is Shivani Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Shivani Patel enrolled in Medicare?

Yes. Shivani 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.

Which organizations bill Medicare for Shivani Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shivani Patel reassigns Medicare benefits to 3 organizations: Honesticare LLC (Toms River, NJ), Specialty Medconsultants LLC (Ventnor City, NJ) and The Radiology Group Of New Jersey, LLC (Hackettstown, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shivani Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shivani Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Shivani Patel 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 Shivani Patel affiliated with any hospitals?

According to CMS data, Shivani Patel is affiliated with Community Medical Center, Shore Medical Center and Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Shivani Patel was last updated on April 1, 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.