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AJAY R PATEL DDS OMS
NPI 1629114038
Dentist in Merced, CA

Active since January 30, 2007Opted out of Medicare · through Jan 8, 2028
130 PARK AVE, MERCED, CA 95348(209) 722-2764(209) 722-4861 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ajay R Patel Dds Oms NPPES

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

AJAY R PATEL DDS OMS (NPI 1629114038) is an individual dentist in Merced, California, licensed in New York (045277-1) and active in the NPI registry since January 2007. He has opted out of Medicare through January 8, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629114038
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameAJAY R PATELCredential: DDS OMS
Location Address130 PARK AVEMerced, CA 95348-3421
Mailing Address130 Park AveMerced, CA 95348-3421 · (209) 722-2764 · Fax (209) 722-4861
Phone(209) 722-2764
Fax(209) 722-4861
Sole ProprietorYes
Enumeration DateJanuary 30, 2007
Last NPPES UpdateSeptember 12, 2007
✔ NPI 1629114038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 045277-1
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
130 PARK AVE, Merced, CA 95348
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ajay R Patel Dds Oms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 8, 2016 through January 8, 2028.

Opt-Out Effective DateJanuary 8, 2016
Opt-Out In Effect ThroughJanuary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95348 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 2

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

SAGE ACUPUNCTURE & HOLISTIC MEDICINE
Acupuncturist
130 PARK AVE
MERCED, CA 95348
Merced County (209) 761-7612
PAUL B. HANSEN, D.D.S., INC.
Dentist (Oral and Maxillofacial Surgery)
130 PARK AVE
MERCED, CA 95348
Merced County (209) 722-2764

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 Ajay Patel's NPI number?

The NPI number for Ajay Patel is 1629114038. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Ajay Patel located?

Ajay Patel practices at 130 Park Ave, Merced, CA 95348. The listed phone number is (209) 722-2764.

What is Ajay Patel's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Ajay Patel enrolled in Medicare?

No. Ajay Patel has opted out of Medicare through January 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Ajay Patel accept?

Health plans from Humana list Ajay 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.

When was this NPI record last updated?

The NPPES record for Ajay Patel was last updated on September 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.