DR. HITEN PATEL M.D.
NPI 1902284680
Internal Medicine in Toms River, NJ

Q: What is Hiten Patel's NPI number?

The NPI number for Hiten Patel is 1902284680. It was assigned to this individual provider in the NPPES registry on May 13, 2015.

Q: What is Hiten Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hiten Patel was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 13, 2015PECOS EnrolledAccepts Medicare Assignment

99 NJ-37, TOMS RIVER, NJ 08755(732) 557-8000 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Hiten Patel M.d. NPPES

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

DR. HITEN PATEL M.D. (NPI 1902284680) is an individual internal medicine provider in Toms River, New Jersey, licensed in New Jersey (25MA10334200) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1902284680

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. HITEN PATELCredential: M.D.

Location Address99 NJ-37Toms River, NJ 08755

Mailing Address365 Bond St Apt A520Brooklyn, NY 11231-5145 · (847) 363-2976

Phone(732) 557-8000

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMay 13, 2015

Last NPPES UpdateSeptember 26, 2019

✔ NPI 1902284680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · 25MA10334200

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.

99 NJ-37, Toms River, NJ 08755

Open in Google Maps ↗

Secondary Practice Location 1

Location 1150 55th StBrooklyn, NY 11220-2508 · Phone (718) 630-7000

Accepted Insurance

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

Dr. Hiten 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 ID3577807064

PECOS Enrollment IDI20200316000256

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 Hiten Patel reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

First Docs LLC

30 mi

Internal Medicine

1235 WHITEHORSE MERCERVILLE RD STE 306
Hamilton, NJ 08619

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

NPI 1154936227 (609) 585-1122

Mercer Bucks Medical Associates, P.C.

37 mi

Internal Medicine

1411 WOODBOURNE RD
Levittown, PA 19057

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Mercer Bucks Medical Associates PC
59 clinicians in this Medicare group

NPI 1952485971 (215) 943-2000

Hospitalist Physicians Of New Jersey PA

41 mi

Hospitalist

65 JAMES ST
Edison, NJ 08820

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

NPI 1588021851 (732) 321-7000

Rwjbh Emergency Medicine Associates, LLC

43 mi

Emergency Medicine

3 EXECUTIVE DR, STE 400
Somerset, NJ 08873

Reassigned Medicare billing, New Jersey enrollment
1,557 clinicians in this Medicare group

NPI 1912510041 (732) 867-9618

Barnabas Health Medical Group, PC

55 mi

Specialist

95 OLD SHORT HILLS RD
West Orange, NJ 07052

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

NPI 1447206420 (888) 724-7123

Rwjbh Observation Associates LLC

55 mi

Emergency Medicine

94 OLD SHORT HILLS RD
Livingston, NJ 07039

Reassigned Medicare billing, New Jersey enrollment
1,913 clinicians in this Medicare group

NPI 1760095806 (888) 724-7123

St. Luke's Physician Group Inc

57 mi

Family Medicine

700 HORIZON DR STE 103
Chalfont, PA 18914

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: St Lukes Physician Group Inc
2,851 clinicians in this Medicare group

NPI 1265326656 (215) 822-3130

Geps Physician Group Of Pennsylvania PC

80 mi

Internal Medicine

101 E STATE ST
Kennett Square, PA 19348

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

NPI 1467471615 (610) 925-4157

Alignmed Medical Group, PC

127 mi

Geriatric Medicine

9200 FRANKLIN SQUARE DR
Baltimore, MD 21237

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

NPI 1366289423 (410) 391-2600

Alignmed Partners, PC

821 mi

Geriatric Medicine

420 DEAN DR
Gardendale, AL 35071

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

NPI 1881109452 (205) 631-8709

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 13

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,779 services331 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

1,193 services243 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

374 services133 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

142 services132 patients

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.

88 services43 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.

64 services59 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

62 services57 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

49 services48 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.

44 services27 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

42 services34 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

28 services20 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

18 services18 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.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390258

LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County

Emergency services

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 20

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

ASHLEY ASENSIO DO

Emergency Medicine

99 NJ-37
TOMS RIVER, NJ 08755

Ocean County (610) 790-4838

THOMAS GERARD FULCINITI

Student in an Organized Health Care Education/Training Program

99 NJ-37
TOMS RIVER, NJ 08755

Ocean County (732) 557-8000

KEVIN JOSEPH EDGEWORTH PA-C

Physician Assistant

99 NJ-37
TOMS RIVER, NJ 08755

Ocean County (732) 557-8000

CANDICE NICOLE TATE

Student in an Organized Health Care Education/Training Program

99 NJ-37
TOMS RIVER, NJ 08755

Ocean County (732) 557-8000

MILAN B PATEL

Student in an Organized Health Care Education/Training Program

99 NJ-37
TOMS RIVER, NJ 08755

Ocean County (732) 557-8000

SHEALIN DONOVAN

Student in an Organized Health Care Education/Training Program

99 NJ-37
TOMS RIVER, NJ 08755

Ocean County (732) 557-8000

CHRISTOPHER KESHISHIAN

Student in an Organized Health Care Education/Training Program

99 NJ-37
TOMS RIVER, NJ 08755

Ocean County (732) 557-8000

MUHAMMAD SAIFULLAH TIWANA

Internal Medicine

99 NJ-37
TOMS RIVER, NJ 08755

Ocean County (732) 557-8000

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 Hiten Patel's NPI number?

The NPI number for Hiten Patel is 1902284680. It was assigned to this individual provider in the NPPES registry on May 13, 2015.

Where is Hiten Patel located?

Hiten Patel practices at 99 Nj-37, Toms River, NJ 08755. The listed phone number is (732) 557-8000.

What is Hiten Patel's specialty?

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

Is Hiten Patel enrolled in Medicare?

Yes. Hiten 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 Hiten Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hiten Patel reassigns Medicare benefits to 10 organizations: First Docs LLC (Hamilton, NJ), Mercer Bucks Medical Associates, P.C. (Levittown, PA), Hospitalist Physicians Of New Jersey PA (Edison, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Barnabas Health Medical Group, PC (West Orange, NJ) and 5 more organizations, listed in the Medicare section above. 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 Hiten Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hiten Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Hiten 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 Hiten Patel affiliated with any hospitals?

According to CMS data, Hiten Patel is affiliated with St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Hiten Patel was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.