PRATIT D PATEL MD
NPI 1881037620
Psychiatry & Neurology - Vascular Neurology in Neptune, NJ

Q: What is Pratit Patel's NPI number?

The NPI number for Pratit Patel is 1881037620. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Q: What is Pratit Patel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Q: When was this NPI record last updated?

The NPPES record for Pratit Patel was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 11, 2013PECOS EnrolledAccepts Medicare Assignment

1945 STATE ROUTE 33, NEPTUNE, NJ 07753(732) 974-0003(732) 974-0366 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2024, Dec 11, 2020, Aug 12, 2020 and 2 more (5 updates tracked since 2018).

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About Pratit D Patel Md NPPES

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

PRATIT D PATEL MD (NPI 1881037620) is an individual vascular neurology provider in Neptune, New Jersey, licensed in New Jersey (25MA10425700) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1881037620

Entity TypeIndividualMale

Primary Taxonomy2084V0102X

Provider Legal NamePRATIT D PATELCredential: MD

Location Address1945 STATE ROUTE 33Neptune, NJ 07753-4859

Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877 · Fax (201) 751-1680

Phone(732) 974-0003

Fax(732) 974-0366

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateApril 11, 2013

Last NPPES UpdateOctober 30, 20255 updates tracked since enumeration

NPPES CertifiedOctober 30, 2025

✔ NPI 1881037620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084V0102X

Licenses✔ Licensed in NJ · 25MA10425700✔ Licensed in PA · MD462066

Definition

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.

1945 STATE ROUTE 33, Neptune, NJ 07753

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Secondary Practice Locations 7

Location 11 Capital WayPennington, NJ 08534-2520 · Phone (609) 303-4000

Location 2750 Brunswick AveTrenton, NJ 08638-4143 · Phone (609) 394-6000

Location 31 Cooper PlzCamden, NJ 08103-1461 · Phone (856) 356-2000

Location 41012 E 2nd StDuluth, MN 55805-2200 · Phone (218) 249-7655 · Fax (218) 249-6989

Location 52 Capital Way Ste 456Pennington, NJ 08534-2521 · Phone (609) 537-7300

Location 63 Penns Trl Fl 2Newtown, PA 18940-1812 · Phone (609) 537-7300

Location 7420 Delaware St SE, MMC 295, 12-100 PWBMinneapolis, MN 55455-0341 · Phone (612) 626-6519

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Pratit D 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 ID6305143405

PECOS Enrollment IDI20200812002448, I20200826001443

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

Medicare enrollment records show Pratit Patel reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Specialty Care PC

9.1 mi

Surgical Critical Care

331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701

Reassigned Medicare billing, New Jersey enrollment
2,844 clinicians in this Medicare group

NPI 1215989249 (732) 807-0800

Caring Neurology LLC

14 mi

Neurology

901 W MAIN ST
Freehold, NJ 07728

Reassigned Medicare billing, New Jersey enrollment
22 clinicians in this Medicare group

NPI 1427547199 (732) 431-2000

Capital Health Medical Group

38 mi

Internal Medicine

750 BRUNSWICK AVE
Trenton, NJ 08638

Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
581 clinicians in this Medicare group

NPI 1437516887 (609) 815-7829

Capital Health Multispecialty Group

38 mi

Surgery

750 BRUNSWICK AVE
Trenton, NJ 08638

Reassigned Medicare billing, New Jersey enrollment
600 clinicians in this Medicare group

NPI 1083072342 (609) 394-6000

Einstein Practice Plan Inc

53 mi

Surgery

9880 BUSTLETON AVE, SUITE 205
Philadelphia, PA 19115

Reassigned Medicare billing, Pennsylvania enrollment
1,205 clinicians in this Medicare group

NPI 1922050509 (215) 676-2222

Cmc Department Of Medicine Group PA

55 mi

Rheumatology

1103 KINGS HWY N, SUITE 202
Cherry Hill, NJ 08034

Reassigned Medicare billing, New Jersey enrollment
399 clinicians in this Medicare group

NPI 1922130129 (856) 968-7019

Reading Hospital

100 mi

Family Medicine

430 N 2ND ST
Reading, PA 19601

Reassigned Medicare billing, Pennsylvania enrollment
399 clinicians in this Medicare group

NPI 1386702413 (484) 628-0400

Allina Health System

998 mi

Internal Medicine

1687 E DIVISION ST
River Falls, WI 54022

Reassigned Medicare billing, Wisconsin enrollment
530 clinicians in this Medicare group

NPI 1952257909 (715) 307-6432

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 18

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

53 services38 patients

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.

49 services48 patients

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.

39 services38 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

36 services25 patients

Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist 36223

This procedure involves placing a tube into an artery in the brain. It's typically done for diagnostic purposes or treatment. A radiologist, a doctor specializing in imaging, reviews the process to ensure accuracy and safety.

32 services30 patients

Imaging of blood vessel 75898

Imaging of blood vessels, also known as vascular imaging, is a non-invasive procedure that allows doctors to view the condition of your blood vessels. It employs techniques like ultrasound, CT scan, or MRI to capture images, enabling the detection of blockages or abnormalities.

29 services14 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

28 services28 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.

27 services26 patients

Insertion of tube into brain artery for diagnosis or treatment with review by radiologist 36226

This procedure involves inserting a thin tube into a brain artery. It aids in diagnosing or treating brain conditions. A radiologist reviews the process to ensure accuracy and safety. It's a critical step in managing brain health effectively.

26 services23 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

23 services21 patients

Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance 61645

This procedure involves removing a blood clot from a head artery. A special imaging technique called fluoroscopy is used for guidance. Additionally, an injection is given to help dissolve any remaining clot. This helps restore normal blood flow to the brain.

20 services20 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.

20 services20 patients

Review by radiologist of image for insertion of material to block blood flow 75894

This procedure involves a radiologist examining an image to plan the placement of a substance that will block blood flow in a specific area. This is usually done to prevent bleeding or to cut off the blood supply to a growth.

17 services15 patients

Occlusion of central nervous system or spinal cord artery 61624

This procedure involves blocking a central nervous system or spinal cord artery to prevent blood flow. It's typically done to treat conditions like aneurysms or vascular malformations. It can help prevent strokes, bleeding, or other serious issues.

16 services14 patients

3d radiographic procedure with computerized image postprocessing 76377

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

14 services13 patients

Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist 36227

This procedure involves placing a small tube into an artery in your neck. This is done to diagnose or treat certain conditions. A radiologist, a doctor who specializes in medical imaging, will review the procedure to ensure everything is done correctly.

13 services12 patients

Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist 36224

This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.

12 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310014

Location1 Cooper PlazaCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

Inspira Medical Center Vineland

Acute Care Hospitals · Vineland, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310032

Location1505 W Sherman AveVineland, NJ 08360 · Cumberland County

Emergency services Birthing friendly

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310044

LocationOne Capital WayPennington, NJ 08534 · Mercer County

Emergency services Birthing friendly

Capital Health Regional Medical Center

Acute Care Hospitals · Trenton, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310092

Location750 Brunswick AveTrenton, NJ 08638 · Mercer County

Emergency services

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390329

Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$13.61 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$6.11 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 20

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

MAULIK D SHAH DO

Internal Medicine (Gastroenterology)