DISHA PATEL OD
NPI 1396576641
Optometrist in Middletown, CT

Active since August 09, 2024PECOS EnrolledAccepts Medicare Assignment
850 WASHINGTON ST, MIDDLETOWN, CT 06457(978) 208-2390 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2026, Aug 9, 2024 (2 updates tracked since 2024).

About Disha Patel Od NPPES

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

DISHA PATEL OD (NPI 1396576641) is an individual optometrist in Middletown, Connecticut, licensed in Connecticut (3.003481) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Manchester, and is a graduate of Pennsylvania College Of Optometry (2025).

NPPES Registry Identity

NPI1396576641
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDISHA PATELCredential: OD
Location Address850 WASHINGTON STMiddletown, CT 06457-2912
Mailing Address5679 Blakeslee AveHarrisburg, PA 17111-4168
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2025
Enumeration DateAugust 9, 2024
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1396576641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CT · 3.003481
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.
850 WASHINGTON ST, Middletown, CT 06457

Secondary Practice Location 1

Location 11470D Pleasant Valley RdManchester, CT 06042-8761 · Phone (860) 812-6267

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

Disha Patel Od 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 ID4486119401
PECOS Enrollment IDI20260721001922
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.

Medicare Billing Reassignment

Medicare enrollment records show Disha Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometrist
249 HARTFORD AVE SPC A170
Bellingham, MA 02019
  • Reassigned Medicare billing, Connecticut enrollment
  • 11 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 06457 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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
850 WASHINGTON ST
MIDDLETOWN, CT 06457

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 Disha Patel's NPI number?

The NPI number for Disha Patel is 1396576641. It was assigned to this individual provider in the NPPES registry on August 9, 2024.

Where is Disha Patel located?

Disha Patel practices at 850 Washington St, Middletown, CT 06457. The listed phone number is (978) 208-2390.

What is Disha Patel's specialty?

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

Is Disha Patel enrolled in Medicare?

Yes. Disha 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 Disha Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Disha Patel reassigns Medicare benefits to City Eye, LLC (Bellingham, MA). 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 Disha Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Disha Patel accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Disha 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 Disha Patel was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.