Palakkumar Kantilal Patel, M.D.
NPI 1053559427ActiveIndividual· Internal Medicine· Toms River, NJ
Internal Medicine (M.D.) in Toms River, New Jersey, licensed in NJ and PA, with an NPI issued in January 2009. Their prescriptions cost Medicare Part D more than their services did: $318,481 for 3,481 claims, against $159,185 paid for services in 2024. Davol Inc. was the largest of 2 companies reporting payments in 2025, $263.08 in all, mostly food and beverage. Lists Community Medical Center as a hospital affiliation.
Overview
| NPI | 1053559427 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jan 23, 2009 |
| Last updated in NPPES | Sep 15, 2026 |
| Certified by provider | Sep 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 25MA09556300 | NJ |
| Hospitalist | 208M00000X | 25MA09556300 | NJ |
| Internal Medicine | 207R00000X | MD437785 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 299 |
|---|---|
| Services billed | 2,336 across 36 procedure codes |
| Paid by Medicare | $159,185 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,481 · 7,184 30-day fills |
|---|---|
| Patients | 351 |
| Total drug cost | $318,481 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Hospital affiliation
- Community Medical CenterToms River, NJ
Other facilities
- Bayada Home Health Care, IncHome health agency · Whiting, NJ
- Visiting Nurse Association of Central Jersey Home Care and HospiceHome health agency · Toms River, NJ
- Community Medical Center TcuNursing home · Toms River, NJ
Industry payments (Open Payments)
- 2025$263.08 · 2 payments from 2 companies
- 2024$198.15 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Davol Inc. | $150.00 | 1 |
| Abbott Laboratories | $113.08 | 1 |
What the 2025 payments were for
- Food and Beverage$263.08 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 161 internal medicine physicians in Toms River · All internal medicine physicians in New Jersey