DR. DHIREN B PATEL M.D.
NPI 1619261062
Surgery - Vascular Surgery in Springfield, IL

Active since June 02, 2011PECOS EnrolledAccepts Medicare Assignment
800 N 1ST ST, SPRINGFIELD, IL 62702(217) 528-7541 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2020, Oct 23, 2018, Jul 11, 2018 (3 updates tracked since 2018).

About Dr. Dhiren B Patel M.d. NPPES

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

DR. DHIREN B PATEL M.D. (NPI 1619261062) is an individual vascular surgery provider in Springfield, Illinois, licensed in Illinois (036146261) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1619261062
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. DHIREN B PATELCredential: M.D.
Location Address800 N 1ST STSpringfield, IL 62702
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 2, 2011
Last NPPES UpdateMay 21, 20203 updates tracked since enumeration
NPPES CertifiedMay 21, 2020
NPI 1619261062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in IL · 036146261
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
800 N 1ST ST, Springfield, IL 62702

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. Dhiren B 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 ID2062791759
PECOS Enrollment IDI20180803000958, I20180920000015
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 22

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.
131 services105 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.
122 services86 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
89 services87 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.
67 services30 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
65 services63 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
58 services58 patients

Hospital Affiliations CMS Care Compare 4

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Abraham Lincoln Memorial Hospital

Critical Access Hospitals · Lincoln, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141322
Location200 Stahlhut DriveLincoln, IL 62656 · Logan County
Emergency services

Reid Health

Acute Care Hospitals · Richmond, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150048
Location1100 Reid PkwyRichmond, IN 47374 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

Physical Therapy Assistant
800 N 1ST ST
SPRINGFIELD, IL 62702
Physician Assistant
800 N 1ST ST
SPRINGFIELD, IL 62702
Physician Assistant (Surgical)
800 N 1ST ST
SPRINGFIELD, IL 62702
Physical Therapist
800 N 1ST ST
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
800 N 1ST ST
SPRINGFIELD, IL 62702
Physical Therapist
800 N 1ST ST
SPRINGFIELD, IL 62702
Internal Medicine (Cardiovascular Disease)
800 N 1ST ST
SPRINGFIELD, IL 62702
Internal Medicine (Interventional Cardiology)
800 N 1ST ST
SPRINGFIELD, IL 62702

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 1619261062. It was assigned to this individual provider in the NPPES registry on June 2, 2011.

Where is Dhiren Patel located?

Dhiren Patel practices at 800 N 1st St, Springfield, IL 62702. The listed phone number is (217) 528-7541.

What is Dhiren Patel's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

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.

Is Dhiren Patel affiliated with any hospitals?

According to CMS data, Dhiren Patel is affiliated with St Johns Hospital, Memorial Medical Center, Abraham Lincoln Memorial Hospital and Reid Health.

When was this NPI record last updated?

The NPPES record for Dhiren Patel was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.