Palakkummar Patel, M.D.,
NPI 1013440551 · Pulmonary Disease Physician · Trenton, NJ
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Palakkummar Patel, M.D., is a Pulmonary Disease Physician provider in Trenton, NJ (NPI 1013440551).
Provider details
- NPI number
- 1013440551
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.,
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA12100600 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
452 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 154 | $121 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 99 | $80 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 65 | $133 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 36 | $174 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 27 | $176 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 121 | 78 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 36 | 19 |
| Fluticasone Propionate | 35 | 15 |
| Prednisone | 24 | 18 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 19 | — |
| Glycopyrrolate/Formoterol Fumbrand: Bevespi Aerosphere | 12 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$390 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (4)
- 2242 W Harrison StChicago, IL 60612-3719Phone: (877) 766-6984
- 1 Hamilton Health PlHamilton, NJ 08690-3542Phone: (609) 586-7900Fax: (732) 923-2272
- 1701 W Charleston Blvd Ste 230Las Vegas, NV 89102-2312Phone: (702) 660-8658Fax: (702) 671-2376
- 2201 Hempstead TpkeEast Meadow, NY 11554-1859Phone: (516) 296-2388Fax: (516) 572-8781
Registry dates
- Enumerated
- 2017-04-11
- Last updated
- 2024-05-07
- Certified
- 2024-05-07
Frequently asked questions
- What is Palakkummar Patel's NPI number?
- Palakkummar Patel's National Provider Identifier (NPI) is 1013440551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Palakkummar Patel's specialty?
- Palakkummar Patel is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Palakkummar Patel located?
- Palakkummar Patel's practice location on file with NPPES is 2312 Whitehorse Mercerville Rd Ste 105, Trenton, NJ 08619-1953.
- What is Palakkummar Patel's phone number?
- The practice phone number listed in the NPPES registry for Palakkummar Patel is (609) 586-7400.
- Does Palakkummar Patel accept Medicare?
- Palakkummar Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Palakkummar Patel's NPI active?
- Yes — Palakkummar Patel's NPI (1013440551) is active in the NPPES registry as of the last update on 2024-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.