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DR. KALPESHKUMAR P. PATEL MD
NPI 1922125038
Family Medicine - Sleep Medicine in Old Bridge, NJ

Active since March 23, 2007PECOS EnrolledAccepts Medicare Assignment
2 HOSPITAL PLZ STE 320, OLD BRIDGE, NJ 08857(732) 625-8200(732) 625-8218 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 15, 2018, Jan 12, 2018 (2 updates tracked since 2018).

About Dr. Kalpeshkumar P. Patel Md NPPES

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

DR. KALPESHKUMAR P. PATEL MD (NPI 1922125038) is an individual sleep medicine provider in Old Bridge, New Jersey, licensed in New Jersey (25MA08271300) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1922125038
Entity TypeIndividualMale
Primary Taxonomy207QS1201X
Provider Legal NameDR. KALPESHKUMAR P. PATELCredential: MD
Location Address2 HOSPITAL PLZ STE 320Old Bridge, NJ 08857
Mailing Address2 Hospital Plz Ste 320Old Bridge, NJ 08857-3153 · (732) 625-8200 · Fax (732) 625-8218
Phone(732) 625-8200
Fax(732) 625-8218
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 23, 2007
Last NPPES UpdateJune 15, 20182 updates tracked since enumeration
✔ NPI 1922125038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS1201X
License✔ Licensed in NJ · 25MA08271300
Definition
A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 25MA08271300 (NJ)
2 HOSPITAL PLZ STE 320, Old Bridge, NJ 08857
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Other Names 1

Professional Name (2)Dr. K Patel Md

Other Identifiers 1

Medicaid0142280NJ

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

Dr. Kalpeshkumar P. 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 ID4486725553
PECOS Enrollment IDI20080617000472
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

8

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

Spring Creek Rehabilitation And Nursing Center LLC
9.0 mi
Skilled Nursing Facility
1 LINDBERG AVE
Perth Amboy, NJ 08861
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1033878590 (732) 826-0500
Freehold Hospitalists, LLC
9.0 mi
Hospitalist
4255 ROUTE 9 N, BLDG 5, SUITE B
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 31 clinicians in this Medicare group
NPI 1831231463 (732) 255-2252
Hackensack Meridian Urgent Care, PC
11 mi
Urgent Care
315 W MAIN ST
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 95 clinicians in this Medicare group
NPI 1285165209 (888) 878-1503
Morristown Post Acute Rehabilitation And Nursing Center
27 mi
Skilled Nursing Facility
77 MADISON AVE
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1710522628 (973) 540-9800
Practice Associates Medical Group
28 mi
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
NPI 1427016385 (844) 264-2250
Morris View Management Co
31 mi
Skilled Nursing Facility
540 W HANOVER AVE
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1285304576 (973) 285-2800
Fallsview At Boonton
36 mi
Skilled Nursing Facility
199 POWERVILLE RD
Boonton, NJ 07005
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1649980178 (973) 334-2454
535 Egg Harbor Road Opco LLC
61 mi
Skilled Nursing Facility
535 EGG HARBOR RD
Sewell, NJ 08080
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1669196622 (856) 557-0105

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 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.
336 services223 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.
103 services91 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.
97 services97 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
67 services67 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.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08857 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 18

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$23.20 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier12 claims120 services$2.14 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$8.89 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers73 claims73 services$30.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers74 claims74 services$68.82 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers46 claims123 services$27.35 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

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

MARUTI FAMILY & SLEEP MEDICINE LLC
Family Medicine (Sleep Medicine)
2 HOSPITAL PLZ STE 320
OLD BRIDGE, NJ 08857
Middlesex County (732) 625-8200

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 Kalpeshkumar Patel's NPI number?

The NPI number for Kalpeshkumar Patel is 1922125038. It was assigned to this individual provider in the NPPES registry on March 23, 2007. The provider is also known as Dr. K Patel MD.

Where is Kalpeshkumar Patel located?

Kalpeshkumar Patel practices at 2 Hospital Plz Ste 320, Old Bridge, NJ 08857. The listed phone number is (732) 625-8200.

What is Kalpeshkumar Patel's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Is Kalpeshkumar Patel enrolled in Medicare?

Yes. Kalpeshkumar 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 Kalpeshkumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kalpeshkumar Patel reassigns Medicare benefits to 8 organizations: Spring Creek Rehabilitation And Nursing Center LLC (Perth Amboy, NJ), Freehold Hospitalists, LLC (Freehold, NJ), Hackensack Meridian Urgent Care, PC (Freehold, NJ), Morristown Post Acute Rehabilitation And Nursing Center (Morristown, NJ), Practice Associates Medical Group (Morristown, NJ) and 3 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 Kalpeshkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kalpeshkumar Patel accept?

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

According to CMS data, Kalpeshkumar Patel is affiliated with Morristown Medical Center.

When was this NPI record last updated?

The NPPES record for Kalpeshkumar Patel was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.