Sizan B Patel, MD - Medicare Internal Medicine in Toms River, NJ

Sizan B Patel, MD is a medicare enrolled "Internal Medicine" physician in Toms River, New Jersey. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Shore Medical Specialists, Shoremedical5 Llc and his current practice location is 9 Hospital Dr Ste B1, Toms River, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 363-7200.

Sizan B Patel is licensed to practice in New Jersey (license number 25MA09802300) 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 1043655368.

Contact Information

Sizan B Patel, MD
9 Hospital Dr Ste B1,
Toms River, NJ 08755-6425
(732) 363-7200
(866) 662-4129

Map and Direction




Physician's Profile

Full NameSizan B Patel
GenderMale
SpecialityInternal Medicine
Experience16 Years
Location9 Hospital Dr Ste B1, 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:
  • Sizan B Patel graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1043655368
  • Provider Enumeration Date: 04/30/2013
  • Last Update Date: 10/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7618268707
  • Enrollment ID: I20160621000883

Medical Identifiers

Medical identifiers for Sizan B Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043655368NPI-NPPES
2797003MedicaidNJ
0524280MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA09802300 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Medical CenterToms river, NJHospital
Monmouth Medical Center - Southern CampusLakewood, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shore Medical Specialists20624330305
Shoremedical5 Llc27697365376

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. Sizan B Patel allows following entities to bill medicare on his behalf.
Entity NameShore Medical Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134217417
PECOS PAC ID: 2062433030
Enrollment ID: O20081107000789
Entity NameShoremedical5 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962981944
PECOS PAC ID: 2769736537
Enrollment ID: O20181114000525

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. Sizan B 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
Sizan B Patel, MD
9 Hospital Dr Ste B1,
Toms River, NJ 08755-6425

Ph: (732) 363-7200
Sizan B Patel, MD
9 Hospital Dr Ste B1,
Toms River, NJ 08755-6425

Ph: (732) 363-7200

Reviews and Comments


Internal Medicine Doctors in Toms River, NJ

Dr. Vanie S Ramachandra Rao, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14 Hospital Dr, Toms River, NJ 08755
Phone: 732-244-3100    
Dr. Gregory J Cuozzo, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 102 Commons Way, Toms River, NJ 08755
Phone: 732-349-4434    Fax: 732-349-9290
Dr. Prabhat Kumar Sinha, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20 Hospital Dr, Ste 3, Toms River, NJ 08755
Phone: 732-341-9900    Fax: 732-341-9968
Dr. Satish K Bhutani, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1416 Hooper Ave, Toms River, NJ 08753
Phone: 848-223-7120    Fax: 732-349-6919
Rajat K Dhar, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 442d Commons Way, Toms River, NJ 08755
Phone: 732-505-3510    Fax: 732-505-5308
Dr. Joseph Anthony Decorso Jr., MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 20 Montreal Ct, Toms River, NJ 08757
Phone: 973-699-1830    
Dr. Martin Zaratan Jimenez, M.D.
Internal Medicine
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.