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DIPA SUMAN PATEL MD
NPI 1205836962
Dermatology in Grand Rapids, MI

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
555 MIDTOWNE ST NE, SUITE 301, GRAND RAPIDS, MI 49503(616) 248-8864(616) 248-8874 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dipa Suman Patel Md NPPES

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

DIPA SUMAN PATEL MD (NPI 1205836962) is an individual dermatology provider in Grand Rapids, Michigan, licensed in Michigan (4301067695) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Ann Arbor Hospital, and is a graduate of Wayne State University School Of Medicine (1996).

NPPES Registry Identity

NPI1205836962
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDIPA SUMAN PATELCredential: MD
Location Address555 MIDTOWNE ST NE, SUITE 301Grand Rapids, MI 49503-5729
Mailing Address555 Midtowne St Ne, Suite 301Grand Rapids, MI 49503-5729 · (616) 248-8864 · Fax (616) 248-8874
Phone(616) 248-8864
Fax(616) 248-8874
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1996
Enumeration DateJuly 26, 2005
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1205836962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MI · 4301067695
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
555 MIDTOWNE ST NE, Grand Rapids, MI 49503
Open in Google Maps ↗

Other Identifiers 2

Medicaid4687596MI
Medicaid4217043MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.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

Dipa Suman Patel Md 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 ID8527019892
PECOS Enrollment IDI20050203000408
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.

Medicare Billing Reassignment

Medicare enrollment records show Dipa Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dermatology At Midtowne, PC
Same address
Dermatology
555 MIDTOWNE ST NE, SUITE 301
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
NPI 1780933432 (616) 248-8864

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 8

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
296 services52 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services76 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
78 services75 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.
72 services71 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
61 services57 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
39 services38 patients

Hospital Affiliations CMS Care Compare

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

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%90 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,515 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
82%2,136 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
78%88 patients4/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
70%201 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
94%1,998 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
74%676 patients4/55-star benchmark: 95%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
93%1,998 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,998 patients1/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
100%66 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

BRADLEY BENGTSON, M.D. PC
Plastic Surgery
555 MIDTOWNE ST NE, SUITE 110
GRAND RAPIDS, MI 49503
Kent County (616) 588-8880
OAM SURGERY CENTER AT MIDTOWNE, LLC
Clinic/Center (Ambulatory Surgical)
555 MIDTOWNE ST NE, SUITE 200
GRAND RAPIDS, MI 49503
Kent County (616) 552-5000
MICHELLE MIZE EMERY MD
Dermatology
555 MIDTOWNE ST NE, SUITE 301
GRAND RAPIDS, MI 49503
Kent County (616) 248-8864
MICHELLE A KLYN MD
Obstetrics & Gynecology
555 MIDTOWNE ST NE, STE 450
GRAND RAPIDS, MI 49503
Kent County (616) 588-1200
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Obstetrics & Gynecology
555 MIDTOWNE ST NE, SUITE 302
GRAND RAPIDS, MI 49503
Kent County (616) 391-3315
PENNANT PHYSICIAN SERVICES
Pediatrics (Pediatric Cardiology)
555 MIDTOWNE ST NE, SUITE 310
GRAND RAPIDS, MI 49503
Kent County (616) 252-4765
DR. DAVID J BIELEMA MD
Orthopaedic Surgery
555 MIDTOWNE ST NE, SUITE 105
GRAND RAPIDS, MI 49503
Kent County (616) 459-7101
MRS. ROXANNE KAY CORNELIUS PA-C
Physician Assistant (Medical)
555 MIDTOWNE ST NE, SUITE 110
GRAND RAPIDS, MI 49503
Kent County (616) 588-8880

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 Dipa Patel's NPI number?

The NPI number for Dipa Patel is 1205836962. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Dipa Patel located?

Dipa Patel practices at 555 Midtowne St NE Suite 301, Grand Rapids, MI 49503. The listed phone number is (616) 248-8864.

What is Dipa Patel's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Dipa Patel enrolled in Medicare?

Yes. Dipa 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 organization bills Medicare for Dipa Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dipa Patel reassigns Medicare benefits to Dermatology At Midtowne, PC (Grand Rapids, MI). The 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 Dipa Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dipa Patel accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Dipa 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 Dipa Patel affiliated with any hospitals?

According to CMS data, Dipa Patel is affiliated with Trinity Health Ann Arbor Hospital.

When was this NPI record last updated?

The NPPES record for Dipa Patel was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.