DR. HARDI PATEL OD
NPI 1952978496
Optometrist in Matawan, NJ
About Dr. Hardi Patel Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HARDI PATEL OD (NPI 1952978496) is an individual optometrist in Matawan, New Jersey, licensed in New York (009417) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2021).
NPPES Registry Identity
Specialties & Licenses 2
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. Hardi Patel Od 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 Reassignment
Medicare enrollment records show Hardi Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bloomfield, NJ 07003
- Reassigned Medicare billing, New Jersey enrollment
- 64 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07747 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Hardi Patel's NPI number?
The NPI number for Hardi Patel is 1952978496. It was assigned to this individual provider in the NPPES registry on June 4, 2021.
Where is Hardi Patel located?
Hardi Patel practices at 20 Oxford Ct, Matawan, NJ 07747. The listed phone number is (732) 956-7618.
What is Hardi Patel's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Hardi Patel enrolled in Medicare?
Yes. Hardi 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 organization bills Medicare for Hardi Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hardi Patel reassigns Medicare benefits to Charles M. Cummins, Od., PA (Bloomfield, NJ). The 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 Hardi Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hardi Patel accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Oscar Health, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 4 other insurers list Hardi 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.
When was this NPI record last updated?
The NPPES record for Hardi Patel was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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. Hardi Patel, OD · NPI 1952978496
Optometrist provider in Matawan, New Jersey. Individual provider, active in the CMS NPPES registry since June 4, 2021.
## Identity
- **NPI:** 1952978496 (Entity type: Individual)
- **Enumerated:** June 4, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 009417 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 20 OXFORD CT, Matawan, NJ 07747-9524
- **Phone:** (732) 956-7618
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Charles M. Cummins, Od., PA (NPI 1598797722, Bloomfield, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New England College Of Optometry, class of 2021
## Record status
- **NPPES last updated:** July 22, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1952978496) · Data from the CMS NPPES public registry.