DHARA KETAN PATEL
NPI 1275160095
Internal Medicine in Hershey, PA
About Dhara Ketan Patel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DHARA KETAN PATEL (NPI 1275160095) is an individual internal medicine provider in Hershey, Pennsylvania, licensed in Pennsylvania (OS022809) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2020).
NPPES Registry Identity
Specialties & Licenses
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
Dhara Ketan Patel 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
4Medicare enrollment records show Dhara Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hershey, PA 17033
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,216 clinicians in this Medicare group
Durham, NC 27704
- Reassigned Medicare billing, North Carolina enrollment
- Also billed through NPI 1336448810 (North Carolina)
- 1,482 clinicians in this Medicare group
Durham, NC 27704
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 clinicians in this Medicare group
Cambridge, MA 02139
- Reassigned Medicare billing, Massachusetts enrollment
- 719 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cambridge Health Alliance
Acute Care Hospitals · Cambridge, MADuke University Hospital
Acute Care Hospitals · Durham, NCDuke Regional Hospital
Acute Care Hospitals · Durham, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17033 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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
HERSHEY, PA 17033
HERSHEY, PA 17033
HERSHEY, PA 17033
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 Dhara Patel's NPI number?
The NPI number for Dhara Patel is 1275160095. It was assigned to this individual provider in the NPPES registry on March 23, 2020.
Where is Dhara Patel located?
Dhara Patel practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (800) 243-1455.
What is Dhara Patel's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Dhara Patel enrolled in Medicare?
Yes. Dhara 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 Dhara Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dhara Patel reassigns Medicare benefits to 4 organizations: The Milton S Hershey Medical Center Physicians Group (Hershey, PA), Duke University Health System, Inc. (Durham, NC), Duke Health Integrated Practice, Inc (Durham, NC) and Cambridge Public Health Commission (Cambridge, MA). 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 Dhara Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dhara Patel accept?
Health plans from Cigna Healthcare and Taro Health list Dhara 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 Dhara Patel affiliated with any hospitals?
According to CMS data, Dhara Patel is affiliated with Cambridge Health Alliance, Duke University Hospital and Duke Regional Hospital.
When was this NPI record last updated?
The NPPES record for Dhara Patel was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.
# Dhara Ketan Patel · NPI 1275160095
Internal Medicine physician in Hershey, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 23, 2020.
## Identity
- **NPI:** 1275160095 (Entity type: Individual)
- **Enumerated:** March 23, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** OS022809 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 UNIVERSITY DR, Hershey, PA 17033-2360
- **Phone:** (800) 243-1455
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): The Milton S Hershey Medical Center Physicians Group (NPI 1710951744, Hershey, PA); Duke University Health System, Inc. (NPI 1962721308, Durham, NC); Duke Health Integrated Practice, Inc (NPI 1518725936, Durham, NC); Cambridge Public Health Commission (NPI 1487603585, Cambridge, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Edward Via Col Of Osteo Medicine-Virginia Campus, class of 2020
## Record status
- **NPPES last updated:** August 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275160095) · Data from the CMS NPPES public registry.