DHIREN RANCHHODBHAI PATEL M.D.
NPI 1265747596
Pediatrics - Pediatric Gastroenterology in St. Louis, MO
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
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Dhiren Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63104
- Reassigned Medicare billing, Missouri enrollment
- 1,294 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.
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.
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
ST.LOUIS, MO 63104
SAINT LOUIS, MO 63104
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.
Which organization bills Medicare for Dhiren Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dhiren Patel reassigns Medicare benefits to Ssm Health Care Group (Saint Louis, MO). 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 Dhiren Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dhiren Patel accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers 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 17 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.
# Dhiren Ranchhodbhai Patel, M.D. · NPI 1265747596
Pediatric Gastroenterology physician in St. Louis, Missouri. Individual provider, active in the CMS NPPES registry since August 11, 2010.
## Identity
- **NPI:** 1265747596 (Entity type: Individual)
- **Enumerated:** August 11, 2010
- **Primary specialty:** Pediatrics - Pediatric Gastroenterology · taxonomy 2080P0206X
- **State license:** 2015030336 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1465 S GRAND BLVD, St. Louis, MO 63104-1003
- **Phone:** (314) 577-5647 · **Fax:** (314) 268-2775
## 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:** Ssm Health Care Group (NPI 1306589544, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** May 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265747596) · Data from the CMS NPPES public registry.