Prem Patel, M.D.
NPI 1376073684 · Cardiovascular Disease Physician · Cedar Knolls, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prem Patel, M.D. is a Cardiovascular Disease Physician provider in Cedar Knolls, NJ (NPI 1376073684).
Provider details
- NPI number
- 1376073684
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA11360900 (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
9 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
767 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 50 Minutes99233 | 127 | $126 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 123 | $72 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 119 | $191 |
| Ultrasound of Both Sides of Head and Neck Blood Flow93880 | 95 | $204 |
| Ultrasound of Leg Arteries Or Artery Grafts93925 | 78 | $269 |
| Complete Ultrasound of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts93978 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Ticagrelorbrand: Brilinta | 28 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$460 across 18 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
- 2017-06-19
- Last updated
- 2024-09-15
- Certified
- 2024-09-15
Frequently asked questions
- What is Prem Patel's NPI number?
- Prem Patel's National Provider Identifier (NPI) is 1376073684, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prem Patel's specialty?
- Prem Patel is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Prem Patel located?
- Prem Patel's practice location on file with NPPES is 65 Ridgedale Ave, Cedar Knolls, NJ 07927-1313.
- What is Prem Patel's phone number?
- The practice phone number listed in the NPPES registry for Prem Patel is (973) 401-1100.
- Does Prem Patel accept Medicare?
- Prem Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prem Patel's NPI active?
- Yes — Prem Patel's NPI (1376073684) is active in the NPPES registry as of the last update on 2024-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.