TAPAN DILIPKUMAR PATEL M.D.
NPI 1225424252
Otolaryngology in North Haven, CT

Q: 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.

Q: What is Tapan Patel's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Tapan Patel was last updated on August 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 07, 2015PECOS EnrolledAccepts Medicare Assignment

94.17/100

CMS Quality Rating

31 BROADWAY FL 2, NORTH HAVEN, CT 06473(203) 234-1324(203) 239-3047 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2021, Aug 26, 2020 (2 updates tracked since 2020).

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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

NPI1225424252

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameTAPAN DILIPKUMAR PATELCredential: M.D.

Location Address31 BROADWAY FL 2North Haven, CT 06473-2363

Mailing Address31 Broadway Fl 2North Haven, CT 06473-2363 · (203) 234-1324 · Fax (203) 239-3047

Phone(203) 234-1324

Fax(203) 239-3047

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 2015

Enumeration DateApril 7, 2015

Last NPPES UpdateAugust 5, 20212 updates tracked since enumeration

NPPES CertifiedAugust 5, 2021

✔ NPI 1225424252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in CT · 68709

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

31 BROADWAY FL 2, North Haven, CT 06473

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Secondary Practice Locations 3

Location 15 Pequot Park RdWestbrook, CT 06498-2856 · Phone (203) 633-4325 · Fax (203) 239-3047

Location 2954 Main St Ste 2Branford, CT 06405-7727 · Phone (203) 481-0003 · Fax (203) 239-3047

Location 346 Prince St Ste 601New Haven, CT 06519-1634 · Phone (203) 752-1726 · Fax (203) 239-3047

Other Identifiers 1

Other68709CT · State Of Ct

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

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.

PECOS PAC ID6002247319

PECOS Enrollment IDI20210816001720

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 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.

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.

293 services216 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

266 services148 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

171 services139 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.

134 services97 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

90 services90 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

68 services53 patients

Biopsy or removal of nasal polyp or tissue using an endoscope 31237

A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.

60 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

58 services58 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services14 patients

Removal of tissue from sphenoid sinus using an endoscope 31259

This is a procedure where a small camera (endoscope) is used to view and remove tissue from the sphenoid sinus, a space in the back of your nose. It helps to diagnose or treat conditions affecting this area. Minimal discomfort is expected.

13 services12 patients

Removal of nasal sinus tissue using an endoscope 31267

This procedure, known as endoscopic sinus surgery, involves using a thin, flexible tube with a light and camera to view and remove problematic nasal sinus tissue. It helps to alleviate sinus issues and improve breathing.

12 services11 patients

Exploration of nasal sinus using an endoscope 31276

Exploration of the nasal sinus using an endoscope is a procedure where a thin, flexible tube with a light and camera attached is inserted into the nose. This allows the doctor to view and examine the sinuses in detail, aiding in the diagnosis and treatment of sinus issues.

12 services11 patients

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.

New Patient

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

94.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.94

Promoting Interoperability

99.39

Improvement Activities

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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.

MS. DARIA NOREEN COLLINS AU.D

Audiologist

31 BROADWAY FL 2
NORTH HAVEN, CT 06473

South Central Connecticut Planning Region (203) 234-1324

DR. JEFFREY PAUL CRANFORD M.D.

Otolaryngology

31 BROADWAY FL 2
NORTH HAVEN, CT 06473

South Central Connecticut Planning Region (203) 234-1324

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.

When was this NPI record last updated?

The NPPES record for Tapan Patel was last updated on August 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.