DR. SHIL PATEL D.O.
NPI 1952720807
Internal Medicine - Gastroenterology in Hackensack, NJ

Active since April 08, 2014PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
20 PROSPECT AVE STE 707, HACKENSACK, NJ 07601(551) 996-3091 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 27, 2020, Jul 9, 2019 (2 updates tracked since 2019).

About Dr. Shil Patel D.o. NPPES

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

DR. SHIL PATEL D.O. (NPI 1952720807) is an individual gastroenterology provider in Hackensack, New Jersey, licensed in Georgia (86108) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1952720807
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SHIL PATELCredential: D.O.
Location Address20 PROSPECT AVE STE 707Hackensack, NJ 07601-1963
Mailing Address20 Prospect Ave Ste 707Hackensack, NJ 07601-1963 · (551) 996-3091 · Fax (551) 996-3091
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2014
Enumeration DateApril 8, 2014
Last NPPES UpdateJune 28, 20222 updates tracked since enumeration
NPPES CertifiedJune 28, 2022
NPI 1952720807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in GA · 86108 Licensed in NJ · 25MB10442900
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MB10442900 (NJ), 86108 (GA)
20 PROSPECT AVE STE 707, Hackensack, NJ 07601

Secondary Practice Locations 3

Location 129 E 29th StBayonne, NJ 07002-4654 · Phone (201) 858-5000
Location 294 Old Short Hills RdLivingston, NJ 07039-5672 · Phone (973) 322-5000
Location 31551 Doctors DrLaGrange, GA 30240-4139 · Phone (706) 880-7311 · Fax (706) 880-7360

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. Shil Patel D.o. 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 ID3870827090
PECOS Enrollment IDI20190621002172
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 11

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.
497 services327 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.
367 services342 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.
362 services202 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.
182 services174 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
89 services89 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
32 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Palisades Medical Center

Acute Care Hospitals · North Bergen, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310003
Location7600 River RdNorth Bergen, NJ 07047 · Hudson County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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.

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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Pulmonary Disease)
20 PROSPECT AVE STE 707
HACKENSACK, NJ 07601
Internal Medicine (Critical Care Medicine)
20 PROSPECT AVE STE 707
HACKENSACK, NJ 07601
Internal Medicine (Pulmonary Disease)
20 PROSPECT AVE STE 707
HACKENSACK, NJ 07601
Health Educator
20 PROSPECT AVE STE 707
HACKENSACK, NJ 07601
Internal Medicine (Pulmonary Disease)
20 PROSPECT AVE STE 707
HACKENSACK, NJ 07601
Internal Medicine (Gastroenterology)
20 PROSPECT AVE STE 707
HACKENSACK, NJ 07601

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 Shil Patel's NPI number?

The NPI number for Shil Patel is 1952720807. It was assigned to this individual provider in the NPPES registry on April 8, 2014.

Where is Shil Patel located?

Shil Patel practices at 20 Prospect Ave Ste 707, Hackensack, NJ 07601. The listed phone number is (551) 996-3091.

What is Shil Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shil Patel enrolled in Medicare?

Yes. Shil 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.

Is Shil Patel affiliated with any hospitals?

According to CMS data, Shil Patel is affiliated with Hackensack University Medical Center, Palisades Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Shil Patel was last updated on June 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.