DR. DARSHANA DILIP PATEL O.D.
NPI 1396064515
Optometrist in Crown Point, IN

Active since May 27, 2010PECOS EnrolledAccepts Medicare Assignment
1184 N MAIN ST, CROWN POINT, IN 46307(219) 226-9571 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 8, 2017 (3 updates tracked since 2017).

About Dr. Darshana Dilip Patel O.d. NPPES

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

DR. DARSHANA DILIP PATEL O.D. (NPI 1396064515) is an individual optometrist in Crown Point, Indiana, licensed in Indiana (18003653A) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Merrillville, and is a graduate of Illinois College Of Optometry At Chicago (2010).

NPPES Registry Identity

NPI1396064515
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. DARSHANA DILIP PATELCredential: O.D.
Location Address1184 N MAIN STCrown Point, IN 46307-2715
Mailing Address1184 N Main StCrown Point, IN 46307-2715 · (219) 226-9571
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2010
Enumeration DateMay 27, 2010
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1396064515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in IN · 18003653A Licensed in IL · 046.010347
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1184 N MAIN ST, Crown Point, IN 46307

Secondary Practice Location 1

Location 11890 SOUTHLAKE MALLMERRILLVILLE, IN 46410-6433 · Phone (219) 756-7265 · Fax (219) 756-7265

Other Identifiers 1

Other18003653AIN · Indiana Optometry License

Accepted 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

Dr. Darshana Dilip Patel O.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 ID6901922095
PECOS Enrollment IDI20100927000410
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 46307 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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

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

Optometrist
1184 N MAIN ST
CROWN POINT, IN 46307

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 Darshana Patel's NPI number?

The NPI number for Darshana Patel is 1396064515. It was assigned to this individual provider in the NPPES registry on May 27, 2010.

Where is Darshana Patel located?

Darshana Patel practices at 1184 N Main St, Crown Point, IN 46307. The listed phone number is (219) 226-9571.

What is Darshana Patel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Darshana Patel enrolled in Medicare?

Yes. Darshana 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 Darshana Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Darshana 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 Darshana Patel was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.