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DHIREN RAMJI PATEL MBBS
NPI 1437644515
Psychiatry & Neurology - Neurology in New Britain, CT

Active since June 29, 2018PECOS EnrolledAccepts Medicare Assignment
100 GRAND ST, NEW BRITAIN, CT 06052(860) 972-9093 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 26, 2023, Jun 29, 2018 (2 updates tracked since 2018).

About Dhiren Ramji Patel Mbbs NPPES

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

DHIREN RAMJI PATEL MBBS (NPI 1437644515) is an individual neurology provider in New Britain, Connecticut, licensed in Connecticut (72540) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1437644515
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDHIREN RAMJI PATELCredential: MBBS
Location Address100 GRAND STNew Britain, CT 06052-2016
Mailing Address1290 Silas Deane HwyWethersfield, CT 06109-4337 · (860) 972-9093
Phone(860) 972-9093
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 29, 2018
Last NPPES UpdateMay 26, 20232 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
✔ NPI 1437644515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in CT · 72540✔ Licensed in GA · 010082
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
100 GRAND ST, New Britain, CT 06052
Open in Google Maps ↗

Secondary Practice Location 1

Location 11120 15th StAugusta, GA 30912-0004 · Phone (706) 721-7005

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, Select Health, University of Utah Health Plans.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

Dhiren Ramji Patel Mbbs 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 ID345607446
PECOS Enrollment IDI20250403001316
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 Reassignments

3

Medicare enrollment records show Dhiren Patel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Sky Telehealth, LLC
1,684 mi
Neurology with Special Qualifications in Child Neurology
5600 S QUEBEC ST STE 312A
Greenwood Village, CO 80111
  • Reassigned Medicare billing, Colorado and Utah enrollments
  • 110 clinicians in this Medicare group
NPI 1649886458 (303) 343-6272
Carepoint Inpatient Blue Sky Neurology Utah, PLLC
2,021 mi
Neurology
1200 E 3900 S
Salt Lake City, UT 84124
  • Reassigned Medicare billing, Utah enrollment
  • 10 clinicians in this Medicare group
NPI 1972163368 (801) 268-7111
St Lukes Clinic-Treasure Valley LLC
2,191 mi
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Utah enrollment
  • 3 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
119 services119 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.
59 services50 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services22 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
21 services21 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.
21 services21 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06052 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
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
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 20

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

MISS NIRMALA BHATT MD
Internal Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
MUHAMMAD YASIR ANWAR MBBS
Hospitalist
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
DR. ALEXANDER VDOVENKO M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5584
MS. KORTNEY ROSE RIBBECK PA-C
Physician Assistant (Medical)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
SHEILA SANTHAPPA M.D.
Psychiatry & Neurology (Neurology)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (608) 224-5305
MS. ELLEN ROSENBERG LMSW
Social Worker (Clinical)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5285
DR. LOUIS GRAFF IV M.D.
Emergency Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5774
WANDA M KIREJCZYK MD
Radiology (Diagnostic Radiology)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 225-5556

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 Dhiren Patel's NPI number?

The NPI number for Dhiren Patel is 1437644515. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Where is Dhiren Patel located?

Dhiren Patel practices at 100 Grand St, New Britain, CT 06052. The listed phone number is (860) 972-9093.

What is Dhiren Patel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Dhiren Patel enrolled in Medicare?

Yes. Dhiren 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 Dhiren Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dhiren Patel reassigns Medicare benefits to 3 organizations: Blue Sky Telehealth, LLC (Greenwood Village, CO), Carepoint Inpatient Blue Sky Neurology Utah, PLLC (Salt Lake City, UT) and St Lukes Clinic-Treasure Valley LLC (Boise, ID). 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 Dhiren Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dhiren Patel accept?

Health plans from Providence Health Plan, Select Health and University of Utah Health Plans list Dhiren 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 Dhiren Patel affiliated with any hospitals?

According to CMS data, Dhiren Patel is affiliated with St Mark's Hospital.

When was this NPI record last updated?

The NPPES record for Dhiren Patel was last updated on May 26, 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.