DR. SHIL PATEL D.O.
NPI 1952720807
Internal Medicine - Gastroenterology in Hackensack, NJ
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
Specialties & Licenses 3
Secondary Practice Locations 3
Accepted 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. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shil Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bayonne, NJ 07002
- Reassigned Medicare billing, New Jersey enrollment
- 637 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
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 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.
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, NJPalisades Medical Center
Acute Care Hospitals · North Bergen, NJSouthern Ocean Medical Center
Acute Care Hospitals · Manahawkin, NJPhysician 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.
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.
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.
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
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.
Which organizations bill Medicare for Shil Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shil Patel reassigns Medicare benefits to 2 organizations: Garden State Healthcare Associates, LLC (Bayonne, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). 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 Shil Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shil Patel accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Shil 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 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Shil Patel, D.O. · NPI 1952720807
Gastroenterology physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since April 8, 2014.
## Identity
- **NPI:** 1952720807 (Entity type: Individual)
- **Enumerated:** April 8, 2014
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 86108 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 PROSPECT AVE STE 707, Hackensack, NJ 07601-1963
- **Phone:** (551) 996-3091
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Garden State Healthcare Associates, LLC (NPI 1700014545, Bayonne, NJ); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2014
## Record status
- **NPPES last updated:** June 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1952720807) · Data from the CMS NPPES public registry.