Palakkumar Patel, M.D.
NPI 1053559427 · Internal Medicine Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Palakkumar Patel, M.D. is a Internal Medicine Physician provider in Toms River, NJ (NPI 1053559427).
Provider details
- NPI number
- 1053559427
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD437785 (PA)
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
17 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
2,047 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 35 Minutes99232 | 544 | $81 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 342 | $135 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, Each Additional 20 Minutes99458 | 254 | $41 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, First 20 Minutes99457 | 162 | $52 |
| Remote Monitoring of Physiologic Parameters, Initial Supply of Devices With Daily Recordings Or Programmed Alerts Transmission, Each 30 Days99454 | 124 | $51 |
| Hospital Discharge Day Management, 30 Minutes Or Less |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 67 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 170 | 57 |
| Levothyroxine Sodium | 169 | 45 |
| Pantoprazole Sodium | 146 | 64 |
| Metformin Hcl | 136 | 48 |
| Pravastatin Sodium | 133 | 47 |
| Alprazolam | 125 | 22 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$198 across 4 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)
- 780 Route 37 WSte 220Toms River, NJ 08755-5059Phone: (732) 279-3681Fax: (732) 279-6043
Registry dates
- Enumerated
- 2009-01-23
- Last updated
- 2022-07-21
Frequently asked questions
- What is Palakkumar Patel's NPI number?
- Palakkumar Patel's National Provider Identifier (NPI) is 1053559427, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Palakkumar Patel's specialty?
- Palakkumar Patel is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Palakkumar Patel located?
- Palakkumar Patel's practice location on file with NPPES is 662 Commons Way Bldg I4, Toms River, NJ 08755-6431.
- What is Palakkumar Patel's phone number?
- The practice phone number listed in the NPPES registry for Palakkumar Patel is (732) 279-3681.
- Does Palakkumar Patel accept Medicare?
- Palakkumar Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Palakkumar Patel's NPI active?
- Yes — Palakkumar Patel's NPI (1053559427) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.