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DR. HITESH RAMESH PATEL M.D.
NPI 1871534305
Family Medicine in Edison, NJ

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
1804 OAK TREE RD, SUITE 4, EDISON, NJ 08820(732) 744-0634(732) 744-0635 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Hitesh Ramesh Patel M.d. NPPES

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

DR. HITESH RAMESH PATEL M.D. (NPI 1871534305) is an individual family medicine provider in Edison, New Jersey, licensed in New Jersey (MA69747) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1998).

NPPES Registry Identity

NPI1871534305
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HITESH RAMESH PATELCredential: M.D.
Location Address1804 OAK TREE RD, SUITE 4Edison, NJ 08820-2704
Mailing Address1804 Oak Tree Rd, Suite 4Edison, NJ 08820-2704 · (732) 744-0634 · Fax (732) 744-0635
Phone(732) 744-0634
Fax(732) 744-0635
Sole ProprietorYes
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1998
Enumeration DateJune 8, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1871534305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · MA69747
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1804 OAK TREE RD, Edison, NJ 08820
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Other Identifiers 3

Medicaid8701809NJ
OtherMA69747NJ · Nj Medical License
OtherD07690100NJ · Cds Registration

Accepted Insurance

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

Dr. Hitesh Ramesh Patel 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 ID6507992039
PECOS Enrollment IDI20100410000063
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 9

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.
212 services112 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.
100 services100 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
70 services70 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
64 services62 patients
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.
37 services32 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
24 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers36 claims87 services$5.01 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers23 claims32 services$0.85 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims2,302 services$0.02 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$105.43 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 4

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

PURVI JIGAR PITHWA
Specialist
1804 OAK TREE RD, SUITE 2
EDISON, NJ 08820
Middlesex County (732) 662-1784
PATEL HEALTHCARE, LLC
Internal Medicine (Interventional Cardiology)
1804 OAK TREE RD
EDISON, NJ 08820
Middlesex County (732) 494-1991
PHYSICIANS WELLNESS CENTER
Family Medicine
1804 OAK TREE RD, SUITE 4
EDISON, NJ 08820
Middlesex County (732) 744-0634
MRS. SHEFALI S. PATEL MD
Internal Medicine
1804 OAK TREE RD, SUITE 3
EDISON, NJ 08820
Middlesex County (732) 494-0080

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 Hitesh Patel's NPI number?

The NPI number for Hitesh Patel is 1871534305. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Hitesh Patel located?

Hitesh Patel practices at 1804 Oak Tree Rd Suite 4, Edison, NJ 08820. The listed phone number is (732) 744-0634.

What is Hitesh Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hitesh Patel enrolled in Medicare?

Yes. Hitesh 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.

What insurance does Hitesh Patel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Hitesh 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 Hitesh Patel affiliated with any hospitals?

According to CMS data, Hitesh Patel is affiliated with Robert Wood Johnson University Hospital, Robert Wood Johnson University Hospital - Somerset and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Hitesh Patel was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.