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NELL M PATEL MD
NPI 1992993414
Colon & Rectal Surgery in New Brunswick, NJ

Active since October 10, 2007PECOS EnrolledAccepts Medicare Assignment
125 PATERSON ST, SUITE 4100, NEW BRUNSWICK, NJ 08901(732) 235-7920(732) 235-7079 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nell M Patel Md NPPES

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

NELL M PATEL MD (NPI 1992993414) is an individual colon & rectal surgery provider in New Brunswick, New Jersey, licensed in New Jersey (25MA08316200) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2001).

NPPES Registry Identity

NPI1992993414
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameNELL M PATELCredential: MD
Location Address125 PATERSON ST, SUITE 4100New Brunswick, NJ 08901-1962
Mailing Address66 W Gilbert St, 2nd FloorTinton Falls, NJ 07701-4947 · (732) 212-0051 · Fax (732) 212-0713
Phone(732) 235-7920
Fax(732) 235-7079
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2001
Enumeration DateOctober 10, 2007
Last NPPES UpdateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1992993414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in NJ · 25MA08316200
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 25MA08316200 (NJ)
125 PATERSON ST, New Brunswick, NJ 08901
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Other Names 1

Former Name (1)Nell Maloney Md

Other Identifiers 2

OtherP00953263NJ · Rr Mcr Ptan
Medicaid0154776NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Nell M Patel 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.

PECOS PAC ID9638242639
PECOS Enrollment IDI20080724000392
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 9

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
28 services27 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
28 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services24 patients
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.
22 services20 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
18 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
11%194 patients1/55-star benchmark: 96%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
2%274 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
7%193 patients1/55-star benchmark: 95%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
63%232 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
3 suppliers15 claims420 services$3.35 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
4 suppliers13 claims14 services$5.15 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
7 suppliers23 claims51 services$3.34 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers14 claims400 services$4.92 avg. paid by Medicare
Ostomy belt with peristomal hernia support A4396
DME-Orthotic Devices · category DF010N
3 suppliers11 claims11 services$35.44 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
6 suppliers19 claims500 services$7.36 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. RICARDO E VERDINER MD
Anesthesiology (Critical Care Medicine)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6155
DR. IMRAN KHAN M.D., PH.D.
Internal Medicine
125 PATERSON ST, SUITE 5200
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6531
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
Internal Medicine (Rheumatology)
125 PATERSON ST, SUITE 5200A
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7217
DOROTEA DEFRANCESCO PA
Physician Assistant (Surgical)
125 PATERSON ST, SUITE 4100
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7800
KRISH KHATRI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7751
ADEOLA AWOMOLO MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Middlesex County (718) 909-4661
DR. MANISH S PATEL MD
Internal Medicine
125 PATERSON ST, ROOM 2330
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6539
FRANK JIANG
Internal Medicine
125 PATERSON ST, CLINICAL ACADEMIC BUILDING - SUITE 5100A
NEW BRUNSWICK, NJ 08901
Middlesex County (832) 235-6968

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 Nell Patel's NPI number?

The NPI number for Nell Patel is 1992993414. It was assigned to this individual provider in the NPPES registry on October 10, 2007. The provider is also known as Nell Maloney MD.

Where is Nell Patel located?

Nell Patel practices at 125 Paterson St Suite 4100, New Brunswick, NJ 08901. The listed phone number is (732) 235-7920.

What is Nell Patel's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Nell Patel enrolled in Medicare?

Yes. Nell 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.

What insurance does Nell Patel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nell 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 Nell Patel affiliated with any hospitals?

According to CMS data, Nell Patel is affiliated with Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Nell Patel was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.