DHRUVAN NIMISH PATEL M.D.
NPI 1083055578
Internal Medicine - Gastroenterology in Darby, PA

Active since July 11, 2013PECOS EnrolledAccepts Medicare Assignment
1500 LANSDOWNE AVE, DARBY, PA 19023(610) 237-4000 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2021, Jan 13, 2021, Jun 23, 2020 (3 updates tracked since 2020).

About Dhruvan Nimish Patel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DHRUVAN NIMISH PATEL M.D. (NPI 1083055578) is an individual gastroenterology provider in Darby, Pennsylvania, licensed in Pennsylvania (MD470563) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Mercy Catholic Medical Center- Mercy Fitzgerald, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1083055578
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDHRUVAN NIMISH PATELCredential: M.D.
Location Address1500 LANSDOWNE AVEDarby, PA 19023-1200
Mailing Address1500 Lansdowne AveDarby, PA 19023-1200 · (610) 237-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 11, 2013
Last NPPES UpdateMay 6, 20213 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
NPI 1083055578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in PA · MD470563
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1500 LANSDOWNE AVE, Darby, PA 19023

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dhruvan Nimish Patel M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143648063
PECOS Enrollment IDI20200909002293
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
169 services92 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
98 services73 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
79 services74 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
54 services24 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
50 services50 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
50 services50 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Catholic Medical Center- Mercy Fitzgerald

Acute Care Hospitals · Darby, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390156
Location1500 Lansdowne AveDarby, PA 19023 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology)
1500 LANSDOWNE AVE
DARBY, PA 19023
Pathology (Cytopathology)
1500 LANSDOWNE AVE
DARBY, PA 19023
Neurological Surgery
1500 LANSDOWNE AVE, SUITE 308 MOB
DARBY, PA 19023
Internal Medicine (Clinical Cardiac Electrophysiology)
1500 LANSDOWNE AVE
DARBY, PA 19023
Pathology (Anatomic Pathology & Clinical Pathology)
1500 LANSDOWNE AVE
DARBY, PA 19023
Nurse Anesthetist, Certified Registered
1500 LANSDOWNE AVE
DARBY, PA 19023
Internal Medicine (Pulmonary Disease)
1500 LANSDOWNE AVE
DARBY, PA 19023
Internal Medicine
1500 LANSDOWNE AVE
DARBY, PA 19023

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dhruvan Patel's NPI number?

The NPI number for Dhruvan Patel is 1083055578. It was assigned to this individual provider in the NPPES registry on July 11, 2013.

Where is Dhruvan Patel located?

Dhruvan Patel practices at 1500 Lansdowne Ave, Darby, PA 19023. The listed phone number is (610) 237-4000.

What is Dhruvan Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Dhruvan Patel enrolled in Medicare?

Yes. Dhruvan Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dhruvan Patel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Dhruvan Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dhruvan Patel affiliated with any hospitals?

According to CMS data, Dhruvan Patel is affiliated with Mercy Catholic Medical Center- Mercy Fitzgerald.

When was this NPI record last updated?

The NPPES record for Dhruvan Patel was last updated on May 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.