Kalpeshkumar Patel, MD
NPI 1922125038 · Sleep Medicine (Family Medicine) Physician · Old Bridge, NJ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kalpeshkumar Patel, MD is a Sleep Medicine (Family Medicine) Physician provider in Old Bridge, NJ (NPI 1922125038).
Provider details
- NPI number
- 1922125038
- Entity type
- Individual
- Primary specialty
- Sleep Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MA08271300 (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
19 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
626 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 336 | $99 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 103 | $138 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 97 | $122 |
| Sleep Study Including Heart Rate, Breathing, and Sleep Time95800 | 67 | $41 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 23 | $175 |
Typical Medicare-allowed amounts for these services range $41–$175 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxyzine Pamoate | 47 | 17 |
| Clonazepam | 43 | — |
| Gabapentin | 20 | — |
| Zolpidem Tartrate | 20 | — |
| Levothyroxine Sodium | 19 | — |
| Alprazolam | 18 | — |
| Temazepam | 17 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$951 across 40 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
- 2007-03-23
- Last updated
- 2018-06-15
Frequently asked questions
- What is Kalpeshkumar Patel's NPI number?
- Kalpeshkumar Patel's National Provider Identifier (NPI) is 1922125038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kalpeshkumar Patel's specialty?
- Kalpeshkumar Patel is listed in the NPPES registry with a primary specialty of Sleep Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Kalpeshkumar Patel located?
- Kalpeshkumar Patel's practice location on file with NPPES is 2 Hospital Plz Ste 320, Old Bridge, NJ 08857.
- What is Kalpeshkumar Patel's phone number?
- The practice phone number listed in the NPPES registry for Kalpeshkumar Patel is (732) 625-8200.
- Does Kalpeshkumar Patel accept Medicare?
- Kalpeshkumar Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kalpeshkumar Patel's NPI active?
- Yes — Kalpeshkumar Patel's NPI (1922125038) is active in the NPPES registry as of the last update on 2018-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.