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DHANSUKHLAL MANILAL PATEL M.D.
NPI 1639153752
Internal Medicine in Mount Vernon, NY

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
11 PARK AVE, SUITE 1K, MOUNT VERNON, NY 10550(914) 668-6140(914) 663-8745 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dhansukhlal Manilal Patel M.d. NPPES

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

DHANSUKHLAL MANILAL PATEL M.D. (NPI 1639153752) is an individual internal medicine provider in Mount Vernon, New York, licensed in New York (146194) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St John's Riverside Hospital, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1639153752
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDHANSUKHLAL MANILAL PATELCredential: M.D.
Location Address11 PARK AVE, SUITE 1KMount Vernon, NY 10550-2124
Mailing Address11 Park Ave, Suite 1kMount Vernon, NY 10550-2124 · (914) 668-6140 · Fax (914) 663-8745
Phone(914) 668-6140
Fax(914) 663-8745
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateDecember 1, 2005
Last NPPES UpdateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
✔ NPI 1639153752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 146194
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.
11 PARK AVE, Mount Vernon, NY 10550
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Other Names 1

Other Name (5)Dhansukh Manilal Patel M.d.

Other Identifiers 1

Medicaid00595946NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dhansukhlal Manilal 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 ID2961423843
PECOS Enrollment IDI20051208000041
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dhansukhlal Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dhansukh Patel M.D. PC
Same address
Internal Medicine
11 PARK AVE, SUITE 1K
Mount Vernon, NY 10550
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1083803985 (914) 668-6140
914hudson Medical P.C.
4.6 mi
Internal Medicine
970 N BROADWAY STE 208
Yonkers, NY 10701
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: 914 Hudson Medical PC
  • 12 clinicians in this Medicare group
NPI 1558019810 (914) 506-4172

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

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.
541 services55 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.
207 services64 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.
161 services59 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
90 services55 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
61 services45 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
42 services42 patients

Hospital Affiliations CMS Care Compare

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

St John's Riverside Hospital

Acute Care Hospitals · Yonkers, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330208
Location976 North BroadwayYonkers, NY 10701 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10550 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%141 patients5/55-star benchmark: 100%
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

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
7 suppliers16 claims29 services$6.61 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 2

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

DHANSUKH PATEL M.D. PC
Internal Medicine
11 PARK AVE, SUITE 1K
MOUNT VERNON, NY 10550
Westchester County (914) 668-6140
DR. SONAL PATEL M.D.
Internal Medicine
11 PARK AVE, SUITE 1K
MOUNT VERNON, NY 10550
Westchester County (914) 668-6140

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 Dhansukhlal Patel's NPI number?

The NPI number for Dhansukhlal Patel is 1639153752. It was assigned to this individual provider in the NPPES registry on December 1, 2005. The provider is also known as Dhansukh Manilal Patel M.D..

Where is Dhansukhlal Patel located?

Dhansukhlal Patel practices at 11 Park Ave Suite 1K, Mount Vernon, NY 10550. The listed phone number is (914) 668-6140.

What is Dhansukhlal Patel's specialty?

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

Is Dhansukhlal Patel enrolled in Medicare?

Yes. Dhansukhlal 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.

Which organizations bill Medicare for Dhansukhlal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dhansukhlal Patel reassigns Medicare benefits to 2 organizations: Dhansukh Patel M.D. PC (Mount Vernon, NY) and 914hudson Medical P.C. (Yonkers, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dhansukhlal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Dhansukhlal Patel affiliated with any hospitals?

According to CMS data, Dhansukhlal Patel is affiliated with St John's Riverside Hospital.

When was this NPI record last updated?

The NPPES record for Dhansukhlal Patel was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.