DHARTI RAJESH PATEL MBBS
NPI 1609364777
Family Medicine - Adult Medicine in Saint Joseph, MI

Q: What is Dharti Patel's NPI number?

The NPI number for Dharti Patel is 1609364777. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Q: What is Dharti Patel's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Dharti Patel was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 24, 2018PECOS EnrolledAccepts Medicare Assignment

84.5/100

CMS Quality Rating

1234 NAPIER AVE, SAINT JOSEPH, MI 49085(269) 985-4632 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 25, 2026, Nov 13, 2023, May 5, 2023 and 5 more (8 updates tracked since 2018).

On this page

About Dharti Rajesh Patel Mbbs NPPES

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

DHARTI RAJESH PATEL MBBS (NPI 1609364777) is an individual adult medicine provider in Saint Joseph, Michigan, licensed in Michigan (4301506073) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Northwest, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1609364777

Entity TypeIndividualFemale

Primary Taxonomy207QA0505X

Provider Legal NameDHARTI RAJESH PATELCredential: MBBS

Location Address1234 NAPIER AVESaint Joseph, MI 49085-2112

Mailing Address2205 W 11th St Apt 331Houston, TX 77008-2780

Phone(269) 985-4632

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 24, 2018

Last NPPES UpdateMarch 25, 20268 updates tracked since enumeration

NPPES CertifiedMarch 25, 2026

✔ NPI 1609364777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in MI · 4301506073

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35.141174 (OH), U2287 (TX), ME156602 (FL)

Also ListedHospitalistTaxonomy 208M00000X · License 35.141174 (OH)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1234 NAPIER AVE, Saint Joseph, MI 49085

Open in Google Maps ↗

Secondary Practice Locations 3

Location 130 E Apple St # 3300Dayton, OH 45409-2939 · Phone (937) 208-8394 · Fax (937) 641-2780

Location 23535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 395-6665 · Fax (937) 395-6668

Location 37330 Canterbury StSpring Hill, FL 34606-4301 · Phone (269) 769-4160

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dharti Rajesh 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 ID5698174878

PECOS Enrollment IDI20230606000987

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

124 services55 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

55 services54 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.

54 services34 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

38 services37 patients

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare Northwest

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450638

Location710 Cypress Creek ParkwayHouston, TX 77090 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

84.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.16

Promoting Interoperability

100

Improvement Activities

Cost

67.18

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.

HANY S MESIHA MD

Internal Medicine

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 983-8300

CORY MINIER SCHMIDT MD

Pediatrics

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 985-4632

JORDAN ANDERSON

Occupational Therapist

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 983-8332

DR. KAREN J DYER M.D.

Pediatrics

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 985-4632

MR. NATHAN JOHN JORDAN MD

Radiology (Diagnostic Radiology)

1234 NAPIER AVE
ST JOSEPH, MI 49085

Berrien County (269) 983-8300

DR. JAMES G. SISAMIS MD

Anesthesiology

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 428-0118

DR. DIEGO P BETITA MD

Anesthesiology

1234 NAPIER AVE
SAINT JOSEPH, MI 49085

Berrien County (269) 428-0118

DR. JESSICA LYNN HAMILL SCHINDLER D.O.

Emergency Medicine

1234 NAPIER AVE, LAKELAND REGIONAL MEDICAL CENTER
SAINT JOSEPH, MI 49085

Berrien County (269) 982-4941

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 Dharti Patel's NPI number?

The NPI number for Dharti Patel is 1609364777. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Dharti Patel located?

Dharti Patel practices at 1234 Napier Ave, Saint Joseph, MI 49085. The listed phone number is (269) 985-4632.

What is Dharti Patel's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Dharti Patel enrolled in Medicare?

Yes. Dharti 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 Dharti Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas and 4 other insurers list Dharti 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 Dharti Patel affiliated with any hospitals?

According to CMS data, Dharti Patel is affiliated with Hca Houston Healthcare Northwest.

When was this NPI record last updated?

The NPPES record for Dharti Patel was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.