Krishna Patel, M.D.
NPI 1235166489 · Pediatrics Physician · Clinton, NJ
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Krishna Patel, M.D. is a Pediatrics Physician provider in Clinton, NJ (NPI 1235166489).
Provider details
- NPI number
- 1235166489
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA04200300 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
591 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 338 | $80 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, at Least 10 Minutes99307 | 213 | $43 |
| Administration of Influenza Virus VaccineG0008 | 25 | $35 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 15 | $141 |
Typical Medicare-allowed amounts for these services range $35–$141 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 81 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 118 | — |
| Albuterol Sulfate | 108 | 14 |
| Levetiracetam | 107 | 11 |
| Pantoprazole Sodium | 80 | 12 |
| Montelukast Sodium | 80 | — |
| Divalproex Sodiumbrand: Divalproex Sodium Er | 75 | — |
| Lamotrigine | 70 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2015-01-09
Frequently asked questions
- What is Krishna Patel's NPI number?
- Krishna Patel's National Provider Identifier (NPI) is 1235166489, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Krishna Patel's specialty?
- Krishna Patel is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Krishna Patel located?
- Krishna Patel's practice location on file with NPPES is 40 Pittstown Road, Clinton, NJ 08809-4008.
- What is Krishna Patel's phone number?
- The practice phone number listed in the NPPES registry for Krishna Patel is (908) 735-4031.
- Does Krishna Patel accept Medicare?
- Krishna Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Krishna Patel's NPI active?
- Yes — Krishna Patel's NPI (1235166489) is active in the NPPES registry as of the last update on 2015-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.