DR. LAXMICHAND DEDHIA M.D.
NPI 1508845132
Family Medicine in Middletown, DE

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment
62.02/100
CMS Quality Rating
114 SANDHILL DR, STE 101, MIDDLETOWN, DE 19709(302) 378-4779(302) 378-4789 Get Directions Write a Review

NPPES record last updated: July 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Laxmichand Dedhia M.d. NPPES

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

DR. LAXMICHAND DEDHIA M.D. (NPI 1508845132) is an individual family medicine provider in Middletown, Delaware, licensed in Delaware (C10004403) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1508845132
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LAXMICHAND DEDHIACredential: M.D.
Location Address114 SANDHILL DR, STE 101Middletown, DE 19709-5805
Mailing Address114 Sandhill Dr, Ste 101Middletown, DE 19709-5805 · (302) 378-4779 · Fax (302) 378-4789
Fax(302) 378-4789
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateJanuary 12, 2006
Last NPPES UpdateJuly 10, 2015
NPI 1508845132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in DE · C10004403
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
114 SANDHILL DR, Middletown, DE 19709

Other Identifiers 4

Medicare ID-Type Unspecified000K30M33DE
OtherC10004403DE · De State Licence No.
Medicare UPINF91825DE
Medicaid0000587501DE

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. Laxmichand Dedhia 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 ID4587563028
PECOS Enrollment IDI20110531000339
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 33

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 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.
1,383 services588 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,128 services138 patients
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.
425 services294 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
367 services181 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
311 services311 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
243 services243 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19709 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

62.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.03
Promoting Interoperability0
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 14

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
13 suppliers27 claims99 services$6.90 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
5 suppliers12 claims12 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers24 claims47 services$1.21 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier13 claims13 services$31.99 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers12 claims12 services$59.50 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers14 claims84 services$11.34 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 12

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

Family Medicine
114 SANDHILL DR, STE 101
MIDDLETOWN, DE 19709
Occupational Therapist
114 SANDHILL DR, SUITE 103, KETLAY PLAZA
MIDDLETOWN, DE 19709
Physician Assistant
114 SANDHILL DR, SUITE 101
MIDDLETOWN, DE 19709
Nurse Practitioner (Family)
114 SANDHILL DR, MIDDLETOWN FAMILY CARE ASSOCIATE,SUITE101, KETLAY PLAZA
MIDDLETOWN, DE 19709
Physical Therapist
114 SANDHILL DR, SUITE 103 KETLAY PLAZA
MIDDLETOWN, DE 19709
Physical Therapist
114 SANDHILL DR, SUITE 103 KETKAY PLAZA
MIDDLETOWN, DE 19709
Nurse Practitioner (Family)
114 SANDHILL DR, SUITE 101
MIDDLETOWN, DE 19709
Physical Therapist
114 SANDHILL DR, SUITE 103
MIDDLETOWN, DE 19709

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 Laxmichand Dedhia's NPI number?

The NPI number for Laxmichand Dedhia is 1508845132. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Laxmichand Dedhia located?

Laxmichand Dedhia practices at 114 Sandhill Dr Ste 101, Middletown, DE 19709. The listed phone number is (302) 378-4779.

What is Laxmichand Dedhia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Laxmichand Dedhia enrolled in Medicare?

Yes. Laxmichand Dedhia 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 Laxmichand Dedhia accept?

Health plans from AmeriHealth Caritas Next list Laxmichand Dedhia 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 Laxmichand Dedhia was last updated on July 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.