TAPAN DILIPKUMAR PATEL M.D.
NPI 1225424252
Otolaryngology in North Haven, CT
About Tapan Dilipkumar Patel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAPAN DILIPKUMAR PATEL M.D. (NPI 1225424252) is an individual otolaryngology provider in North Haven, Connecticut, licensed in Connecticut (68709) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Rutgers New Jersey Medical School (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 1
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
Tapan Dilipkumar 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
2Medicare enrollment records show Tapan Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
North Haven, CT 06473
- Reassigned Medicare billing, Connecticut enrollment
- 10 clinicians in this Medicare group
New Haven, CT 06510
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Northeast Medical Group Inc
- 1,824 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 12
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06473 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tapan Patel's NPI number?
The NPI number for Tapan Patel is 1225424252. It was assigned to this individual provider in the NPPES registry on April 7, 2015.
Where is Tapan Patel located?
Tapan Patel practices at 31 Broadway Fl 2, North Haven, CT 06473. The listed phone number is (203) 234-1324.
What is Tapan Patel's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Tapan Patel enrolled in Medicare?
Yes. Tapan 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 Tapan Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tapan Patel reassigns Medicare benefits to 2 organizations: Ear Nose & Throat Medical And Surgical Group, LLC (North Haven, CT) and Mill Hill Medical Consultants Inc (New Haven, CT). 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 Tapan Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tapan Patel accept?
Health plans from Anthem Blue Cross and Blue Shield list Tapan 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.
When was this NPI record last updated?
The NPPES record for Tapan Patel was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Tapan Dilipkumar Patel, M.D. · NPI 1225424252
Otolaryngology physician in North Haven, Connecticut. Individual provider, active in the CMS NPPES registry since April 7, 2015.
## Identity
- **NPI:** 1225424252 (Entity type: Individual)
- **Enumerated:** April 7, 2015
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 68709 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 31 BROADWAY FL 2, North Haven, CT 06473-2363
- **Phone:** (203) 234-1324 · **Fax:** (203) 239-3047
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ear Nose & Throat Medical And Surgical Group, LLC (NPI 1790854651, North Haven, CT); Mill Hill Medical Consultants Inc (NPI 1952624769, New Haven, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers New Jersey Medical School, class of 2015
## Record status
- **NPPES last updated:** August 5, 2021
- **Other identifiers:** Other 68709 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1225424252) · Data from the CMS NPPES public registry.