Dr Lopa Patel, MD - Medicare Pulmonary Disease in Montclair, NJ

Dr Lopa Patel, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Montclair, New Jersey. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Pulmonary Disease. She is a member of the group practice Lopa M Patel, Llc and her current practice location is 160 Walnut St, Montclair, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 783-5276.

Dr Lopa Patel is licensed to practice in New Jersey (license number 25MA07974200) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447268677.

Contact Information

Dr Lopa Patel, MD
160 Walnut St,
Montclair, NJ 07042-3802
(973) 783-5276
(973) 783-6014

Map and Direction




Physician's Profile

Full NameDr Lopa Patel
GenderFemale
SpecialityPulmonary Disease
Experience22 Years
Location160 Walnut St, Montclair, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lopa Patel graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1447268677
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 05/20/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4284644063
  • Enrollment ID: I20060424000365

Medical Identifiers

Medical identifiers for Dr Lopa Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447268677NPI-NPPES
P00789032OtherNJRR MEDICARE
0102164MedicaidNJ
91002088001OtherNJAMERICHOICE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA07974200 (New Jersey)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 25MA07974200 (New Jersey)Primary
207RP1001XInternal Medicine - Pulmonary Disease 25MA07974200 (New Jersey)Secondary
207RS0012XInternal Medicine - Sleep Medicine 25MA07974200 (New Jersey)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hackensackumc MountainsideMontclair, NJHospital
Clara Maass Medical CenterBelleville, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lopa M Patel, Llc77191540042

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 Lopa Patel allows following entities to bill medicare on her behalf.
Entity NameLopa M Patel, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801163738
PECOS PAC ID: 7719154004
Enrollment ID: O20120127000615

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 Lopa 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 Lopa Patel, MD
160 Walnut St,
Montclair, NJ 07042-3802

Ph: (973) 783-5276
Dr Lopa Patel, MD
160 Walnut St,
Montclair, NJ 07042-3802

Ph: (973) 783-5276

Reviews and Comments


Internal Medicine Doctors in Montclair, NJ

Dr. Alvin Bell, M.D.,F.A.C.P.,F.A.S.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 129 Grove St, Montclair, NJ 07042
Phone: 973-783-6110    Fax: 973-744-7385
Dr. Ankita Patel, MD
Critical Care Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Bay Ave, Montclair, NJ 07042
Phone: 973-429-6196    
Kenneth Miller, MD FACC FSCAI
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 62 S Fullerton Ave, Montclair, NJ 07042
Phone: 973-746-8585    Fax: 973-746-0088
Nonkulie Zweli Dladla, MD
Critical Care Medicine
Medicare: Medicare Enrolled
Practice Location: 120 Stonebridge Rd, Montclair, NJ 07042
Phone: 347-277-8324    
Joseph Barbagallo, MD
Critical Care Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 65 Union St, Suite 24, Montclair, NJ 07042
Phone: 917-225-4785    
Dr. Charles S Goldberg, MD
Critical Care Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 127 Pine Street, Montclair, NJ 07042
Phone: 973-233-9559    Fax: 973-233-9660
Michael Jay Yellin, MD
Critical Care Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 138 Buckingham Rd, Montclair, NJ 07043
Phone: 973-744-7093    Fax: 203-764-2416

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.