Dr Kavan Girishbhai Patel, MD - Medicare Internal Medicine in Toms River, NJ

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Dr Kavan Girishbhai Patel, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Toms River, New Jersey. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Cedar Valley Medical Specialists Pc, Amboy Medical Practice Pc and his current practice location is 425 Lakehurst Rd, Toms River, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 281-1590.

Dr Kavan Girishbhai Patel is licensed to practice in New Jersey (license number MA10103400) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437541406.

Contact Information

Dr Kavan Girishbhai Patel, MD
425 Lakehurst Rd,
Toms River, NJ 08755
(732) 281-1590
Not Available

Map and Direction




Physician's Profile

Full NameDr Kavan Girishbhai Patel
GenderMale
SpecialityInternal Medicine
Experience12 Years
Location425 Lakehurst Rd, Toms River, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kavan Girishbhai Patel graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1437541406
  • Provider Enumeration Date: 02/26/2015
  • Last Update Date: 07/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2769737337
  • Enrollment ID: I20211104001561

Medical Identifiers

Medical identifiers for Dr Kavan Girishbhai Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437541406NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 036153355 (Illinois)Secondary
207RG0100XInternal Medicine - Gastroenterology MA10103400 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Allen HospitalWaterloo, IAHospital
Richmond University Medical CenterStaten island, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cedar Valley Medical Specialists Pc1759291487100
Amboy Medical Practice Pc2860538170129

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kavan Girishbhai Patel allows following entities to bill medicare on his behalf.
Entity NameTrinity Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073594156
PECOS PAC ID: 7315858529
Enrollment ID: O20031204000921
Entity NameCedar Valley Medical Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497794242
PECOS PAC ID: 1759291487
Enrollment ID: O20031208000462
Entity NameWaverly Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598959371
PECOS PAC ID: 8820996762
Enrollment ID: O20031230000129
Entity NameSumner Community Club
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801818661
PECOS PAC ID: 5890607691
Enrollment ID: O20040109000930
Entity NameSumner Community Club
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1780684548
PECOS PAC ID: 5890607691
Enrollment ID: O20061104000206
Entity NameWaverly Health Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1447299953
PECOS PAC ID: 8820996762
Enrollment ID: O20061104000316

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kavan Girishbhai Patel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kavan Girishbhai Patel, MD
425 Lakehurst Rd,
Toms River, NJ 08755-7378

Ph: (732) 281-1590		Dr Kavan Girishbhai Patel, MD
425 Lakehurst Rd,
Toms River, NJ 08755

Ph: (732) 281-1590

Reviews and Comments


Internal Medicine Doctors in Toms River, NJ

Dr. Vanie S Ramachandra Rao, MD
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Practice Location: 14 Hospital Dr, Toms River, NJ 08755
Phone: 732-244-3100    
Dr. Gregory J Cuozzo, MD
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Practice Location: 102 Commons Way, Toms River, NJ 08755
Phone: 732-349-4434    Fax: 732-349-9290
Dr. Prabhat Kumar Sinha, MD
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Practice Location: 20 Hospital Dr, Ste 3, Toms River, NJ 08755
Phone: 732-341-9900    Fax: 732-341-9968
Dr. Satish K Bhutani, MD
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Practice Location: 1416 Hooper Ave, Toms River, NJ 08753
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Rajat K Dhar, MD
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Practice Location: 442d Commons Way, Toms River, NJ 08755
Phone: 732-505-3510    Fax: 732-505-5308
Dr. Joseph Anthony Decorso Jr., MD
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Medicare: Medicare Enrolled
Practice Location: 20 Montreal Ct, Toms River, NJ 08757
Phone: 973-699-1830    
Dr. Martin Zaratan Jimenez, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 25 Mule Rd, Building A, Toms River, NJ 08755
Phone: 732-240-0404    Fax: 732-244-3555

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.