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DIPAN PATEL
NPI 1396963104
Surgery in Providence, RI

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
2 DUDLEY ST, SUITE 470, PROVIDENCE, RI 02905(401) 272-1800 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dipan Patel NPPES

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

DIPAN PATEL (NPI 1396963104) is an individual surgery provider in Providence, Rhode Island, licensed in Rhode Island (MD14414) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Temple University School Of Medicine (2006).

NPPES Registry Identity

NPI1396963104
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDIPAN PATEL
Location Address2 DUDLEY ST, SUITE 470Providence, RI 02905-3236
Mailing AddressPo Box 16149Rumford, RI 02916-0697 · (401) 453-9625 · Fax (401) 435-7069
Phone(401) 272-1800
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2006
Enumeration DateApril 24, 2007
Last NPPES UpdateSeptember 26, 2013
✔ NPI 1396963104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in RI · MD14414✔ Licensed in RI · LP00884
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2 DUDLEY ST, Providence, RI 02905
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Dipan 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.

PECOS PAC ID5799911616
PECOS Enrollment IDI20141020000613
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
69 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services32 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services17 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

LARS STANGENBERG MD
Surgery (Vascular Surgery)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905
Providence County (401) 553-8318
ALICIA P CAPRIO
Student in an Organized Health Care Education/Training Program
2 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
CHARLENE A TATE MD
Psychiatry & Neurology (Neurology)
2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905
Providence County (401) 444-6168
DR. PHILLIP R LUCAS M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 457-2102
J DONALD EASTON MD
Psychiatry & Neurology (Neurology)
2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905
Providence County (401) 444-6168
MRS. AMY POTTER PILOTTE APN, BC
Nurse Practitioner (Adult Health)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905
Providence County (401) 228-0595
NANCY ELEANOR STONE NP
Nurse Practitioner
2 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 453-4500
EDWARD J. MARCACCIO JR. MD
Surgery (Vascular Surgery)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905
Providence County (401) 553-8318

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 Dipan Patel's NPI number?

The NPI number for Dipan Patel is 1396963104. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Dipan Patel located?

Dipan Patel practices at 2 Dudley St Suite 470, Providence, RI 02905. The listed phone number is (401) 272-1800.

What is Dipan Patel's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dipan Patel enrolled in Medicare?

Yes. Dipan 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 Dipan Patel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Dipan 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 Dipan Patel affiliated with any hospitals?

According to CMS data, Dipan Patel is affiliated with Emory University Hospital and Saint Joseph's Hospital Of Atlanta, Inc.

When was this NPI record last updated?

The NPPES record for Dipan Patel was last updated on September 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.