Doctor profile · Federal record

Dr. Vandankumar Patel, MD

Pulmonary Disease Physician (CMS: Internal Medicine) · Pulmonary Disease Physician · Pulmonary Disease Physician · Newton, NJ

  • NPI 1043743255
  • Accepts Medicare
  • 11 yrs in practice
  • Licensed in 3 states
  • Male
  • Solo practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
175 High St
Newton, NJ 078601004
(973) 383-2121
fax (973) 383-8973
Additional location
651 Willow Grove St
Hackettstown, NJ 078401799
(908) 852-5100
fax (908) 850-6822
Mailing address
Po Box 416457
Boston, MA 022416457

Credentials & registration

NPPES · NUCC
NPI registered
April 2017 — 9 yrs on file
Profile last updated
October 24, 2022
Year of graduation
2015 — 11 yrs since
Specialty taxonomy
207RP1001X — NUCC code
State licenses (3)
New Jersey #25MA10899000 · Kansas #ET00308 · Missouri #2021049034

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1043743255. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
339
Distinct HCPCS
10
Medicare allowed
$39,587
HCPCS Description Services Patients Avg allowed
99291 Critical care, first 30-74 minutes 83 48 $213
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 51 34 $77
99214 Established patient office or other outpatient visit, 30-39 minutes 37 34 $98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 31 17 $111
94729 Test to examine how well the lungs exchange gases 29 25 $8
94010 Test to measure expiratory airflow and volume 21 16 $8
99205 New patient office or other outpatient visit, 60-74 minutes 20 20 $202
99215 Established patient office or other outpatient visit, 40-54 minutes 17 17 $165
94726 Test to determine lung volumes using sensors 16 16 $11
94060 Test to measure expiratory airflow and volume changes before and after medication administration 12 12 $9

In context: peer comparison

Among 1 peers in Newton Pulmonary Disease Physician, average services per provider: 28. This provider delivers 12× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$114
Transactions
6
Manufacturers
5
Payer (manufacturer) Industry Txns Amount
Mylan Specialty L.P. 2 $39.18
Takeda Pharmaceuticals U.S.A., INC. 1 $24.33
Abbvie INC. 1 $17.16
Merck Sharp & Dohme LLC 1 $16.95
Travere Therapeutics, INC. 1 $16.37

By nature of payment

Food and Beverage
$114

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
55
Patients
16
Total drug cost
$17,259
Drug Type Claims Patients Total cost
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 29 16 $1,047
Symbicort (Budesonide/Formoterol Fumarate) Brand 14 0 $6,489
Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) Brand 12 0 $9,723

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Vandankumar Patel's medical specialty?
Dr. Vandankumar Patel practices Pulmonary Disease Physician in Newton, NJ.
Where does Dr. Vandankumar Patel practice?
Dr. Vandankumar Patel practices at 175 High St, Newton, NJ 078601004. Office phone: 9733832121.
What is Dr. Vandankumar Patel's NPI?
Dr. Vandankumar Patel's National Provider Identifier (NPI) is 1043743255, issued by NPPES.
Does Dr. Vandankumar Patel accept Medicare assignment?
Yes. Dr. Vandankumar Patel accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Vandankumar Patel commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.