DR. DIPAL HIREN PATEL M.D.
NPI 1477562338
Internal Medicine in Port Charlotte, FL

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
96.02/100
CMS Quality Rating
4161 TAMIAMI TRL, UNIT 4, PORT CHARLOTTE, FL 33952(941) 235-3731 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dipal Hiren Patel M.d. NPPES

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

DR. DIPAL HIREN PATEL M.D. (NPI 1477562338) is an individual internal medicine provider in Port Charlotte, Florida, licensed in Florida (ME81324) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Shorepoint Health Port Charlotte, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1477562338
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. DIPAL HIREN PATELCredential: M.D.
Location Address4161 TAMIAMI TRL, UNIT 4Port Charlotte, FL 33952-9204
Mailing Address168 Croop Ln SePort Charlotte, FL 33952-9115 · (941) 456-6062 · Fax (941) 627-2636
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 7, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1477562338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME81324
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4161 TAMIAMI TRL, Port Charlotte, FL 33952

Other Identifiers 1

Medicare UPINVAD00FL

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. Dipal Hiren Patel M.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 ID6709012156
PECOS Enrollment IDI20131113002160
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
476 services232 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.
201 services149 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
74 services14 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
48 services40 patients
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.
34 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Shorepoint Health Port Charlotte

Acute Care Hospitals · Port Charlotte, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100077
Location2500 Harbor BlvdPort Charlotte, FL 33952 · Charlotte County
Emergency services Birthing friendly

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Desoto Memorial Hospital

Acute Care Hospitals · Arcadia, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100175
Location900 N Robert AveArcadia, FL 34265 · De Soto County
Emergency services

Hca Florida Fawcett Hospital

Acute Care Hospitals · Port Charlotte, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100236
Location21298 Olean BlvdPort Charlotte, FL 33952 · Charlotte County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

96.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.5
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
82%104 patients4/55-star benchmark: 93%
Colorectal Cancer Screening
68%209 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
70%313 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,396 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
45%170 patients3/55-star benchmark: 61%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers26 claims50 services$6.29 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$135.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinic/Center (Physical Therapy)
4161 TAMIAMI TRL, SUITE 304
PORT CHARLOTTE, FL 33952
Nurse Practitioner
4161 TAMIAMI TRL, SUITE 201
PORT CHARLOTTE, FL 33952
Specialist
4161 TAMIAMI TRL, SUITE 802
PORT CHARLOTTE, FL 33952
Specialist
4161 TAMIAMI TRL, SUITE 201
PORT CHARLOTTE, FL 33952
Specialist
4161 TAMIAMI TRL, SUITE 201
PORT CHARLOTTE, FL 33952
Specialist
4161 TAMIAMI TRL, SUITE 201
PORT CHARLOTTE, FL 33952
Social Worker (Clinical)
4161 TAMIAMI TRL, STE. 401
PORT CHARLOTTE, FL 33952
Nurse Practitioner
4161 TAMIAMI TRL, SUITE 701
PORT CHARLOTTE, FL 33952

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 Dipal Patel's NPI number?

The NPI number for Dipal Patel is 1477562338. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Dipal Patel located?

Dipal Patel practices at 4161 Tamiami Trl Unit 4, Port Charlotte, FL 33952. The listed phone number is (941) 235-3731.

What is Dipal Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dipal Patel enrolled in Medicare?

Yes. Dipal 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 Dipal Patel accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Dipal 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 Dipal Patel affiliated with any hospitals?

According to CMS data, Dipal Patel is affiliated with Shorepoint Health Port Charlotte, Sarasota Memorial Hospital, Desoto Memorial Hospital and Hca Florida Fawcett Hospital.

When was this NPI record last updated?

The NPPES record for Dipal Patel was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.