Sandip Patel, M.D
NPI 1316225659 · Internal Medicine Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sandip Patel, M.D is a Internal Medicine Physician provider in Toms River, NJ (NPI 1316225659).
Provider details
- NPI number
- 1316225659
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA09180200 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 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
3,013 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 Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 1,015 | $77 |
| Residence Visit for Established Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99348 | 499 | $79 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, at Least 10 Minutes99307 | 378 | $42 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 340 | $122 |
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More99306 | 154 | $188 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 247 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 1,894 | 282 |
| Pantoprazole Sodium | 1,140 | 154 |
| Furosemide | 950 | 148 |
| Levothyroxine Sodium | 894 | 133 |
| Amlodipine Besylate | 851 | 116 |
| Apixabanbrand: Eliquis | 770 | 102 |
| Donepezil Hcl | 761 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$183 across 3 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
- 2011-08-03
- Last updated
- 2023-10-12
- Certified
- 2023-09-21
Frequently asked questions
- What is Sandip Patel's NPI number?
- Sandip Patel's National Provider Identifier (NPI) is 1316225659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sandip Patel's specialty?
- Sandip Patel is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sandip Patel located?
- Sandip Patel's practice location on file with NPPES is 9 Hospital Dr Ste B1, Toms River, NJ 08755-6425.
- What is Sandip Patel's phone number?
- The practice phone number listed in the NPPES registry for Sandip Patel is (732) 363-7200.
- Does Sandip Patel accept Medicare?
- Sandip Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sandip Patel's NPI active?
- Yes — Sandip Patel's NPI (1316225659) is active in the NPPES registry as of the last update on 2023-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.