Gaurang Patel, M.D.
NPI 1538123542 · Pulmonary Disease Physician · Denville, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gaurang Patel, M.D. is a Pulmonary Disease Physician provider in Denville, NJ (NPI 1538123542).
Provider details
- NPI number
- 1538123542
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA07928600 (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
20 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
3,351 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 | 1,119 | $125 |
| Nursing Facility Ventilation Assistance and Management94004 | 794 | $50 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 418 | $183 |
| Critical Care, First 30-74 Minutes99291 | 370 | $221 |
| Follow-Up Inpatient Or Observation Ventilation Assistance and Management94003 | 291 | $68 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 251 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 45 | — |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 41 | 17 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 34 | 13 |
| Montelukast Sodium | 30 | 17 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 28 | 15 |
| Fluticasone Propion/Salmeterolbrand: Fluticasone-Salmeterol | 28 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$63 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
- 2006-04-14
- Last updated
- 2023-06-14
- Certified
- 2023-06-14
Frequently asked questions
- What is Gaurang Patel's NPI number?
- Gaurang Patel's National Provider Identifier (NPI) is 1538123542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gaurang Patel's specialty?
- Gaurang Patel is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Gaurang Patel located?
- Gaurang Patel's practice location on file with NPPES is 16 Pocono Rd 217, Denville, NJ 07834-2907.
- What is Gaurang Patel's phone number?
- The practice phone number listed in the NPPES registry for Gaurang Patel is (800) 750-8616.
- Does Gaurang Patel accept Medicare?
- Gaurang Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gaurang Patel's NPI active?
- Yes — Gaurang Patel's NPI (1538123542) is active in the NPPES registry as of the last update on 2023-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.