DR. VIPUL K LAKHANI MD
NPI 1982689303
Ophthalmology in Toms River, NJ
About Dr. Vipul K Lakhani Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VIPUL K LAKHANI MD (NPI 1982689303) is an individual ophthalmology provider in Toms River, New Jersey, licensed in New Jersey (25MA06737500) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of State University Of New York Downstate Medical Center (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 12
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. Vipul K Lakhani 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.
Medicare Billing Reassignment
Medicare enrollment records show Vipul Lakhani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Toms River, NJ 08755
- Reassigned Medicare billing, New Jersey enrollment
- 17 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 40
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Community Medical Center
Acute Care Hospitals · Toms River, NJOcean Medical Center
Acute Care Hospitals · Brick, NJMonmouth Medical Center-Southern Campus
Acute Care Hospitals · Lakewood, NJSouthern Ocean Medical Center
Acute Care Hospitals · Manahawkin, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08755 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TOMS RIVER, NJ 08755
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 Vipul Lakhani's NPI number?
The NPI number for Vipul Lakhani is 1982689303. It was assigned to this individual provider in the NPPES registry on December 8, 2005.
Where is Vipul Lakhani located?
Vipul Lakhani practices at 413 Lakehurst Rd Bldg 1, Toms River, NJ 08755. The listed phone number is (732) 244-4322.
What is Vipul Lakhani's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Vipul Lakhani enrolled in Medicare?
Yes. Vipul Lakhani 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 Vipul Lakhani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vipul Lakhani reassigns Medicare benefits to Shore Eye Associates PA (Toms River, 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 Vipul Lakhani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vipul Lakhani accept?
Health plans from Anthem Blue Cross and Blue Shield and Oscar Health list Vipul Lakhani 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 Vipul Lakhani affiliated with any hospitals?
According to CMS data, Vipul Lakhani is affiliated with Community Medical Center, Ocean Medical Center, Monmouth Medical Center-Southern Campus and Southern Ocean Medical Center.
When was this NPI record last updated?
The NPPES record for Vipul Lakhani was last updated on June 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.