DR. DHARA DIGANT PATEL M.D.
NPI 1174907711
Internal Medicine - Cardiovascular Disease in Saginaw, MI
About Dr. Dhara Digant Patel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DHARA DIGANT PATEL M.D. (NPI 1174907711) is an individual cardiovascular disease provider in Saginaw, Michigan, licensed in Wisconsin (77937-20) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Osf St Francis Hospital And Medical Group, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Dhara Digant 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.
Medicare Billing Reassignments
5Medicare enrollment records show Dhara Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Manitowoc, WI 54220
- Reassigned Medicare billing, Wisconsin and Michigan enrollments
- Also billed through NPI 1467771535 (Michigan)
- 875 clinicians in this Medicare group
Kewaunee, WI 54216
- Reassigned Medicare billing, Wisconsin enrollment
- 573 clinicians in this Medicare group
Manitowoc, WI 54220
- Reassigned Medicare billing, Wisconsin enrollment
- 350 clinicians in this Medicare group
Escanaba, MI 49829
- Reassigned Medicare billing, Michigan enrollment
- 118 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Wisconsin enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 15
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Osf St Francis Hospital And Medical Group
Critical Access Hospitals · Escanaba, MIBellin Memorial Hospital
Acute Care Hospitals · Green Bay, WISt Vincent Hospital
Acute Care Hospitals · Green Bay, WIBellin Health Oconto Hospital
Critical Access Hospitals · Oconto, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAGINAW, MI 48602
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 Dhara Patel's NPI number?
The NPI number for Dhara Patel is 1174907711. It was assigned to this individual provider in the NPPES registry on July 14, 2015.
Where is Dhara Patel located?
Dhara Patel practices at 1000 Houghton Ave, Saginaw, MI 48602. The listed phone number is (989) 583-6826.
What is Dhara Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Dhara Patel enrolled in Medicare?
Yes. Dhara 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.
Which organizations bill Medicare for Dhara Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dhara Patel reassigns Medicare benefits to 5 organizations: Bellin Memorial Hospital Inc (Manitowoc, WI), Oconto Hospital & Medical Center Inc (Kewaunee, WI), Froedtert Manitowoc Medical Group, LLC (Manitowoc, WI), St. Francis Hospital (Escanaba, MI) and Osf Multi-Specialty Group (Peoria, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dhara Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dhara Patel accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource (Common Ground Healthcare) and 1 other insurer list Dhara 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 Dhara Patel affiliated with any hospitals?
According to CMS data, Dhara Patel is affiliated with Osf St Francis Hospital And Medical Group, Bellin Memorial Hospital, St Vincent Hospital and Bellin Health Oconto Hospital.
When was this NPI record last updated?
The NPPES record for Dhara Patel was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.