Vandankumar Patel, MD
NPI 1043743255 · Pulmonary Disease Physician · Newton, NJ
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vandankumar Patel, MD is a Pulmonary Disease Physician provider in Newton, NJ (NPI 1043743255).
Provider details
- NPI number
- 1043743255
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ET00308 (KS)
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
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
717 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 118 | $197 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 79 | $118 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 77 | $8 |
| Test to Determine Lung Volumes Using Sensors94726 | 58 | $11 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 58 | $110 |
| Test to Measure Largest Amount of Air Breathed in an Out94200 | 56 | $2 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 55 | 27 |
| Tiotropium Bromidebrand: Spiriva Respimat | 36 | — |
| Montelukast Sodium | 32 | 16 |
| Budesonide/Formoterol Fumaratebrand: Budesonide-Formoterol Fumarate | 28 | — |
| Tiotropium Br/Olodaterol Hclbrand: Stiolto Respimat | 25 | — |
| Mometasone/Formoterolbrand: Dulera | 24 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$114 across 6 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 (1)
- 651 Willow Grove StHackettstown, NJ 07840-1799Phone: (908) 852-5100Fax: (908) 850-6822
Registry dates
- Enumerated
- 2017-04-05
- Last updated
- 2022-10-24
- Certified
- 2022-10-24
Frequently asked questions
- What is Vandankumar Patel's NPI number?
- Vandankumar Patel's National Provider Identifier (NPI) is 1043743255, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vandankumar Patel's specialty?
- Vandankumar Patel is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Vandankumar Patel located?
- Vandankumar Patel's practice location on file with NPPES is 175 High St, Newton, NJ 07860-1004.
- What is Vandankumar Patel's phone number?
- The practice phone number listed in the NPPES registry for Vandankumar Patel is (973) 383-2121.
- Does Vandankumar Patel accept Medicare?
- Vandankumar Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vandankumar Patel's NPI active?
- Yes — Vandankumar Patel's NPI (1043743255) is active in the NPPES registry as of the last update on 2022-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.