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DR. SIMA PATEL MD
NPI 1972969350
Internal Medicine - Endocrinology, Diabetes & Metabolism in New Brunswick, NJ

Active since January 14, 2016PECOS Enrolled
254 EASTON AVE, NEW BRUNSWICK, NJ 08901(732) 745-8600 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 29, 2018, Jan 14, 2016 (2 updates tracked since 2016).

About Dr. Sima Patel Md NPPES

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

DR. SIMA PATEL MD (NPI 1972969350) is an individual endocrinology, diabetes & metabolism provider in New Brunswick, New Jersey, licensed in New Jersey (25MA10419100) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972969350
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SIMA PATELCredential: MD
Location Address254 EASTON AVENew Brunswick, NJ 08901-1766
Mailing Address11 Tobin PlColonia, NJ 07067-2918 · (732) 841-3585
Phone(732) 745-8600
Sole ProprietorNo
Enumeration DateJanuary 14, 2016
Last NPPES UpdateOctober 29, 20182 updates tracked since enumeration
✔ NPI 1972969350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NJ · 25MA10419100
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
254 EASTON AVE, New Brunswick, NJ 08901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sima Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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 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.
252 services131 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
66 services32 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers33 claims74 services$6.43 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers17 claims22 services$1.08 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
12 suppliers82 claims82 services$191.31 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 20

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

DR. AMIE KAWASHIMA D.O.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 339-7566
CRAIG M AUMACK RPH, PHARMD
Pharmacist
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
JENNIFER WALDMANN M.D
Internal Medicine (Critical Care Medicine)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 996-6741
MRS. MICHELE BRUNO HORNER MS, CGC
Genetic Counselor, MS
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-6659
ERNESTO BRETON MD
Student in an Organized Health Care Education/Training Program
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
DR. I. MARK HIATT MD
Pediatrics (Neonatal-Perinatal Medicine)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
JANTI CHAABAN MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
254 EASTON AVE, PEDIATRIC NEUROLOGY
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
SHERENE TANASHA DUNKLEY APN-C
Nurse Practitioner (Acute Care)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600

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 Sima Patel's NPI number?

The NPI number for Sima Patel is 1972969350. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Where is Sima Patel located?

Sima Patel practices at 254 Easton Ave, New Brunswick, NJ 08901. The listed phone number is (732) 745-8600.

What is Sima Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sima Patel enrolled in Medicare?

Yes. Sima Patel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sima Patel was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.