DHIREN RANCHHODBHAI PATEL M.D.
NPI 1265747596
Pediatrics - Pediatric Gastroenterology in St. Louis, MO

Q: What is Dhiren Patel's NPI number?

The NPI number for Dhiren Patel is 1265747596. It was assigned to this individual provider in the NPPES registry on August 11, 2010.

Q: What is Dhiren Patel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Dhiren Patel was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 11, 2010PECOS EnrolledAccepts Medicare Assignment

81.57/100

CMS Quality Rating

1465 S GRAND BLVD, ST. LOUIS, MO 63104(314) 577-5647(314) 268-2775 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 21, 2025, Jan 18, 2021, Jan 12, 2021 and 3 more (6 updates tracked since 2016).

On this page

About Dhiren Ranchhodbhai Patel M.d. NPPES

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

DHIREN RANCHHODBHAI PATEL M.D. (NPI 1265747596) is an individual pediatric gastroenterology provider in St. Louis, Missouri, licensed in Missouri (2015030336) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1265747596

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NameDHIREN RANCHHODBHAI PATELCredential: M.D.

Location Address1465 S GRAND BLVDSt. Louis, MO 63104-1003

Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 577-5647 · Fax (314) 268-2775

Phone(314) 577-5647

Fax(314) 268-2775

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateAugust 11, 2010

Last NPPES UpdateMay 21, 20256 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1265747596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in MO · 2015030336

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatricsTaxonomy 208000000X · License 2015030336 (MO)

1465 S GRAND BLVD, St. Louis, MO 63104

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company.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

Dhiren Ranchhodbhai 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 ID5799086401

PECOS Enrollment IDI20160520000079

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

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.

81.57/100

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

Scored as part of a group practice

Quality

76.09

Promoting Interoperability

100

Improvement Activities

Cost

54.28

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.

DR. SARAH MARGARET HANLY PH.D.

Psychologist (Clinical)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5667

KAVIPRIYA KOMESWARAN

Pediatrics (Pediatric Critical Care Medicine)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 617-2000

ALEXIS HAAS STEWART

Anesthesiologist Assistant

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 977-5700

NATALIE DRURY RD, LD

Dietitian, Registered (Nutrition, Pediatric)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5387

TIMOTHY J KUTZ MD

Pediatrics (Child Abuse Pediatrics)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 268-6406

CHRISTOPHER SALLEE MD

Pediatrics

1465 S GRAND BLVD
ST. LOUIS, MO 63104

St. Louis City (314) 577-1607

AMBER GRANA DO

Pediatrics (Pediatric Critical Care Medicine)

1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5695

DR. ETHAN EMIL PFEIFER MD

Student in an Organized Health Care Education/Training Program

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 268-4070

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 Dhiren Patel's NPI number?

The NPI number for Dhiren Patel is 1265747596. It was assigned to this individual provider in the NPPES registry on August 11, 2010.

Where is Dhiren Patel located?

Dhiren Patel practices at 1465 S Grand Blvd, St. Louis, MO 63104. The listed phone number is (314) 577-5647.

What is Dhiren Patel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Dhiren Patel enrolled in Medicare?

Yes. Dhiren 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 Dhiren Patel accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Dhiren 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 Dhiren Patel was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.