Nikunjkumar Patel
NPI 1174039309 · Endocrinology, Diabetes & Metabolism Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nikunjkumar Patel is a Endocrinology, Diabetes & Metabolism Physician provider in Toms River, NJ (NPI 1174039309).
Provider details
- NPI number
- 1174039309
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA10366100 (NJ)
Specialties & taxonomies
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
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
6,688 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 | 4,394 | $76 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 1,026 | $127 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 768 | $127 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 200 | $33 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 124 | $111 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 33 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Semaglutidebrand: Ozempic | 359 | 69 |
| Levothyroxine Sodium | 262 | 83 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 195 | 80 |
| Pen Needle, Diabeticbrand: Nano 2nd Gen Pen Needle | 187 | 102 |
| Metformin Hcl | 166 | 59 |
| Insulin Lisprobrand: Humalog Kwikpen U-100 | 84 | 37 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,053 across 89 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
Registry dates
- Enumerated
- 2017-12-26
- Last updated
- 2023-07-07
- Certified
- 2023-07-07
Frequently asked questions
- What is Nikunjkumar Patel's NPI number?
- Nikunjkumar Patel's National Provider Identifier (NPI) is 1174039309, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nikunjkumar Patel's specialty?
- Nikunjkumar Patel is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Nikunjkumar Patel located?
- Nikunjkumar Patel's practice location on file with NPPES is 99 Rte 37 W, Toms River, NJ 08755-6423.
- What is Nikunjkumar Patel's phone number?
- The practice phone number listed in the NPPES registry for Nikunjkumar Patel is (732) 781-6428.
- Does Nikunjkumar Patel accept Medicare?
- Nikunjkumar Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nikunjkumar Patel's NPI active?
- Yes — Nikunjkumar Patel's NPI (1174039309) is active in the NPPES registry as of the last update on 2023-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.