JWALANT R. PATEL M.D.
NPI 1912168865
Internal Medicine - Nephrology in Stroudsburg, PA

Q: What is Jwalant Patel's NPI number?

The NPI number for Jwalant Patel is 1912168865. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Q: What is Jwalant Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Jwalant Patel was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 23, 2008PECOS EnrolledAccepts Medicare Assignment

95.64/100

CMS Quality Rating

1619 N 9TH ST, SUITE 2A, STROUDSBURG, PA 18360(610) 628-7920(610) 821-2853 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 31, 2016, Aug 26, 2016, Mar 3, 2016 (3 updates tracked since 2016).

On this page

About Jwalant R. Patel M.d. NPPES

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

JWALANT R. PATEL M.D. (NPI 1912168865) is an individual nephrology provider in Stroudsburg, Pennsylvania, licensed in Pennsylvania (MD448616) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1912168865

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameJWALANT R. PATELCredential: M.D.

Location Address1619 N 9TH ST, SUITE 2AStroudsburg, PA 18360-6501

Mailing Address1619 N 9th St, Suite 2aStroudsburg, PA 18360-6501 · (610) 628-7920 · Fax (610) 821-2853

Phone(610) 628-7920

Fax(610) 821-2853

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJune 23, 2008

Last NPPES UpdateAugust 31, 20163 updates tracked since enumeration

✔ NPI 1912168865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in PA · MD448616✔ Licensed in VA · 0101252613✔ Licensed in NJ · 25MA09917300

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP1-0031847 (TX)

1619 N 9TH ST, Stroudsburg, PA 18360

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Other Identifiers 1

Medicaid1912168865VA

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

Jwalant R. 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 ID5597991661

PECOS Enrollment IDI20160902001637

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

St. Luke's Physician Group, Inc

Same address

Nephrology

1619 N 9TH ST, SUITE 2A
Stroudsburg, PA 18360

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

NPI 1134581309 (610) 628-7920

St. Luke's Warren Physician Group, PC

16 mi

Urgent Care

187 COUNTY ROAD 519 STE 1
Belvidere, NJ 07823

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: St Lukes Warren Physician Group PC
528 clinicians in this Medicare group

NPI 1710469754 (908) 847-3418

Gslpg, Inc

50 mi

Specialist

100 PARAMOUNT BLVD
Orwigsburg, PA 17961

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

NPI 1366006702 (272) 639-1000

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.

Dialysis services, per day, less than full month service (20 years or older) 90970

Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.

357 services21 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.

309 services110 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.

259 services170 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

133 services19 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

119 services40 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.

57 services54 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.

56 services33 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

53 services22 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.

36 services34 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.

31 services31 patients

Dialysis procedure including 1 evaluation 90945

Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.

30 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.

19 services19 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390183

Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County

Emergency services

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390330

Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County

Emergency services

St Luke's Hospital - Carbon Campus

Acute Care Hospitals · Lehighton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390335

Location500 St Luke's DriveLehighton, PA 18235 · Carbon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18360 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.57

Promoting Interoperability

100

Improvement Activities

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.

Azathioprine, oral, 50 mg J7500

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers14 claims210 services$2.25 avg. paid by Medicare

Cyclosporine, oral, 25 mg J7515

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers12 claims1,080 services$0.60 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

3 suppliers14 claims14 services$17.57 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

3 suppliers15 claims15 services$12.57 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 10

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

DR. ROMAINE G JOHNSON OD

Optometrist

1619 N 9TH ST, SUITE 1
STROUDSBURG, PA 18360

Monroe County (570) 422-6500

CONCETTA WITT HEARING AID DISPENSE

Hearing Instrument Specialist

1619 N 9TH ST
STROUDSBURG, PA 18360

Monroe County (570) 476-9949

ST. LUKE'S PHYSICIAN GROUP, INC

Internal Medicine (Nephrology)

1619 N 9TH ST, SUITE 2A
STROUDSBURG, PA 18360

Monroe County (610) 628-7920

STROUD COMPOUNDING AND WELLNESS DRUGSTORE CORP

Pharmacy (Community/Retail Pharmacy)

1619 N 9TH ST, STE 3
STROUDSBURG, PA 18360

Monroe County (570) 476-6936

NICHOLETTE ELIZABETH PARKER MSW, LSW

Social Worker

1619 N 9TH ST
STROUDSBURG, PA 18360

Monroe County (570) 215-5507

PROFESSIONAL HEARING SOLUTIONS,LLC

Hearing Aid Equipment

1619 N 9TH ST, STROUD COMMONS
STROUDSBURG, PA 18360

Monroe County (570) 476-9949

DENNIS SHRIVE

Hearing Instrument Specialist

1619 N 9TH ST
STROUDSBURG, PA 18360

Monroe County (610) 838-6637

UMESH I DALAL M.D.

Internal Medicine (Nephrology)

1619 N 9TH ST, SUITE 2A
STROUDSBURG, PA 18360

Monroe County (610) 628-7920

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 Jwalant Patel's NPI number?

The NPI number for Jwalant Patel is 1912168865. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Jwalant Patel located?

Jwalant Patel practices at 1619 N 9th St Suite 2A, Stroudsburg, PA 18360. The listed phone number is (610) 628-7920.

What is Jwalant Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jwalant Patel enrolled in Medicare?

Yes. Jwalant 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 Jwalant Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jwalant Patel reassigns Medicare benefits to 3 organizations: St. Luke's Physician Group, Inc (Stroudsburg, PA), St. Luke's Warren Physician Group, PC (Belvidere, NJ) and Gslpg, Inc (Orwigsburg, PA). 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 Jwalant Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jwalant Patel accept?

Health plans from Oscar Health list Jwalant 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 Jwalant Patel affiliated with any hospitals?

According to CMS data, Jwalant Patel is affiliated with St Luke's Hospital Bethlehem, St Luke's Miners Memorial Hospital, St Luke's Hospital - Monroe Campus and St Luke's Hospital - Carbon Campus.

When was this NPI record last updated?

The NPPES record for Jwalant Patel was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.