Active NPI 1598740292 Individual Practitioner Male Practitioner

Dr. Mukesh Maganbhai Patel , MD

Internal Medicine • Edison, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mukesh Patel, MD is a certified Internal Medicine practicing in Edison, NJ. With approximately 45 years of clinical experience since completing medical education in 1981, Dr. Patel delivers high-quality medical care to the local community at 1628 OAK TREE RD.

Dr. Patel accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1628 Oak Tree Rd

Edison, NJ 088202841

Telephone 7322059070

Fax 7322059165

Medicare Profile & Education

Medical School

Other

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Edison, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +14.7 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

80 Specialists

Practicing in Edison, NJ (4957 Statewide)

Telehealth Adoption Rate

27.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

28.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (45 Years) 45 Yrs

Edison Specialty Average (30.3 Years) 30.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	826	150	$49.92	$17.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	485	148	$149.77	$139.92
99213 Established patient office or other outpatient visit, typically 15 minutes	477	122	$120.61	$99.58
36415 Insertion of needle into vein for collection of blood sample	220	108	$30.00	$8.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	126	126	$200.00	$141.51
G0008 Administration of influenza virus vaccine	103	102	$30.00	$29.40
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	47	47	$50.00	$21.90
90658 Influenza vaccine, trivalent, 0.5 ml dosage	38	38	$50.00	$21.42
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$220.00	$179.88
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$50.00	$21.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	709	151	$120.00	$99.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	309	149	$150.00	$141.08
36415 Insertion of needle into vein for collection of blood sample	267	130	$30.00	$8.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	132	132	$199.62	$142.20
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	115	114	$50.00	$21.90
G0008 Administration of influenza virus vaccine	114	113	$30.00	$29.40
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$221.43	$181.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	986	178	$120.00	$101.67
36415 Insertion of needle into vein for collection of blood sample	303	143	$30.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	118	$150.00	$143.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	135	135	$200.00	$147.27
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	126	125	$50.00	$21.09
G0008 Administration of influenza virus vaccine	123	123	$30.00	$29.40
99495 Transitional care management services for problem of at least moderate complexity	18	16	$350.00	$232.32
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$212.50	$186.41
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$250.00	$185.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	900	188	$119.28	$103.07
36415 Insertion of needle into vein for collection of blood sample	283	144	$30.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	152	$149.69	$145.89
G0008 Administration of influenza virus vaccine	149	149	$30.00	$19.53
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	146	146	$50.00	$20.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	104	104	$200.00	$149.10
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$210.94	$186.06
99495 Transitional care management services for problem of at least moderate complexity	14	11	$328.57	$233.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	976	195	$100.04	$80.70
36415 Insertion of needle into vein for collection of blood sample	245	147	$30.00	$2.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	186	134	$140.32	$118.27
G0008 Administration of influenza virus vaccine	149	149	$30.00	$19.05
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	143	143	$50.00	$19.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	132	132	$200.00	$123.22
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$206.67	$176.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$70.00	$30.92
90756 Vaccine for influenza for injection into muscle	11	11	$50.00	$27.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,155	203	$100.00	$80.04
36415 Insertion of needle into vein for collection of blood sample	269	139	$30.00	$2.94
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	148	147	$50.00	$18.65
G0008 Administration of influenza virus vaccine	147	147	$30.00	$18.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	104	$140.00	$117.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	108	108	$200.00	$123.34
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$200.00	$174.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$292.29	$84.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$180.00	$172.19
99495 Transitional care management services for problem of at least moderate complexity	12	11	$245.83	$176.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,104	195	$100.09	$80.89
36415 Insertion of needle into vein for collection of blood sample	269	135	$30.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	130	$140.00	$119.49
G0008 Administration of influenza virus vaccine	147	147	$30.00	$23.23
11042 Removal of skin and tissue, 20.0 sq cm or less	127	12	$150.00	$68.42
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	116	116	$50.00	$18.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	99	98	$197.47	$128.46
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	31	31	$50.00	$23.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$231.67	$84.80
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$202.50	$183.30
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$250.00	$189.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	957	173	$100.00	$80.82
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	362	14	$100.00	$28.40
11042 Removal of skin and tissue, 20.0 sq cm or less	245	24	$150.00	$67.84
36415 Insertion of needle into vein for collection of blood sample	214	127	$30.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	127	$139.63	$118.54
G0008 Administration of influenza virus vaccine	120	120	$30.00	$29.01
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	110	110	$50.00	$18.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	109	109	$200.00	$128.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$180.00	$139.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$250.00	$85.30
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$203.57	$182.38
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	11	11	$50.00	$23.57

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ 25MA05531500

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

52306 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Anthony Sergi , DPM

Podiatrist

NPI 1972597482

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 27, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 27, 2010

Registered at 1628 OAK TREE RD, EDISON, NJ 088202841 (Tel: 7322059070)

📍

Updated Business Mailing Address October 27, 2010

Registered at 1628 OAK TREE RD, EDISON, NJ 088202841 (Tel: 7322059070)

👤

Provider Name / Credentials Updated October 27, 2010

Recorded as MUKESH PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2010

Internal Medicine (License #25MA05531500 in NJ)

🟢

Initial NPI Registration & Enumeration December 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1598740292

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 14, 2005

Last Update: October 27, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1628 Oak Tree Rd

Edison, NJ 088202841

Phone: 7322059070

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.