NIKUNJKUMAR PATEL – Endocrinology, Diabetes & Metabolism Physician, NPI 1174039309
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
425 ENDOCRINOLOGY in NJ
Provider Addresses for NIKUNJKUMAR PATEL
99 RTE 37 W
TOMS RIVER, NJ 087556423
Phone: (732) 781-6428
Type: Location
Atlanticare Regional Medical Center, 1925, Pacific Avenue, Atlantic City, Atlantic County, New Jersey, 08401, United States
ATLANTIC CITY, NJ 084016713
Phone: (609) 441-8146
Fax: (609) 441-8002
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 136 Open Payments records for all available years, with a total value of $2,837.
Total Amount is formed as General ($2,837) + Research ($0) + Ownership ($0) = $2,837.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($308).
Total Amount
$2,837
General + Research + Ownership
Payments
136
Total payment records
General Amount
$2,837
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $308 |
| Becton, Dickinson and Company | $245 |
| Novo Nordisk Inc | $225 |
| Tandem Diabetes Care, Inc. | $184 |
| SANOFI-AVENTIS U.S. LLC | $182 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-06-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180613001341 | I | Endocrinology | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,945 | 441 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 335 | 299 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 163 | 100 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 101 | 74 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 89 | 87 | $0 |
Insurance plans in this area (ZIP 08755)
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