CHARMI PATEL DMD
NPI 1356027536
Dentist - General Practice in Sun Prairie, WI

Q: What is Charmi Patel's NPI number?

The NPI number for Charmi Patel is 1356027536. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Q: What is Charmi Patel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Charmi Patel was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 23, 2023PECOS Enrolled

140 N CITY STATION DR, SUN PRAIRIE, WI 53590(608) 837-9800 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Charmi Patel Dmd NPPES

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

CHARMI PATEL DMD (NPI 1356027536) is an individual general practice provider in Sun Prairie, Wisconsin, licensed in Wisconsin (6001216-15) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356027536

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameCHARMI PATELCredential: DMD

Location Address140 N CITY STATION DRSun Prairie, WI 53590-4642

Mailing Address5421 Caddis BndFitchburg, WI 53711-7127 · (920) 939-4227

Phone(608) 837-9800

Sole ProprietorNo

Enumeration DateJune 23, 2023

NPPES CertifiedJune 23, 2023

✔ NPI 1356027536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 6001216-15

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

140 N CITY STATION DR, Sun Prairie, WI 53590

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charmi Patel Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 53590 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACOB M ZABROWSKI DDS

Dentist (General Practice)

140 N CITY STATION DR
SUN PRAIRIE, WI 53590

Dane County (608) 837-9800

DR. NICOLE MARIE GALLMAN D.D.S.

Dentist

140 N CITY STATION DR
SUN PRAIRIE, WI 53590

Dane County (414) 628-5110

MARGARET M FISHER DDS

Dentist (General Practice)

140 N CITY STATION DR
SUN PRAIRIE, WI 53590

Dane County (608) 837-9800

MOAH KONG XIONG DDS

Dentist

140 N CITY STATION DR
SUN PRAIRIE, WI 53590

Dane County (608) 837-9800

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 Charmi Patel's NPI number?

The NPI number for Charmi Patel is 1356027536. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Where is Charmi Patel located?

Charmi Patel practices at 140 N City Station Dr, Sun Prairie, WI 53590. The listed phone number is (608) 837-9800.

What is Charmi Patel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Charmi Patel enrolled in Medicare?

Yes. Charmi Patel is registered in the Medicare PECOS enrollment system.

What insurance does Charmi Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Charmi 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 Charmi Patel was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.