1. Home
  2. Directory
  3. South Dakota
  4. Sioux Falls
  5. Internal Medicine
  6. NPI Profile

CHIRAG CHADRAKANT PATEL MD
NPI 1710141809
Internal Medicine in Sioux Falls, SD

Active since July 17, 2008PECOS Enrolled
76.69/100
CMS Quality Rating
1205 S GRANGE AVE STE 407, SIOUX FALLS, SD 57105(605) 328-8900 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2022, Jun 9, 2017 (2 updates tracked since 2017).

About Chirag Chadrakant Patel Md NPPES

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

CHIRAG CHADRAKANT PATEL MD (NPI 1710141809) is an individual internal medicine provider in Sioux Falls, South Dakota, licensed in Kansas (9407101) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1710141809
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHIRAG CHADRAKANT PATELCredential: MD
Location Address1205 S GRANGE AVE STE 407Sioux Falls, SD 57105-0410
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 328-8900
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 17, 2008
Last NPPES UpdateMay 20, 20222 updates tracked since enumeration
NPPES CertifiedMay 20, 2022
✔ NPI 1710141809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KS · 9407101
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.
1205 S GRANGE AVE STE 407, Sioux Falls, SD 57105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Harbor Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chirag Chadrakant Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416264783
PECOS Enrollment IDI20221130002506
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

5

Medicare enrollment records show Chirag Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Austin Critical Care Specialists PA
896 mi
Critical Care Medicine
201 SETON PARKWAY
Round Rock, TX 78665
  • Reassigned Medicare billing, Texas enrollment
  • 89 clinicians in this Medicare group
NPI 1548445596 (512) 324-4112
Usacs Critical Care Medicine Services Of Texas, PLLC
899 mi
Critical Care Medicine
1401 MEDICAL PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 104 clinicians in this Medicare group
NPI 1023522554 (330) 493-4443
Central Texas Community Health Centers
908 mi
Family Medicine
1210 W BRAKER LN
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 240 clinicians in this Medicare group
NPI 1427882091 (512) 978-9800
Travis County Emergency Physicians PA
914 mi
Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 clinicians in this Medicare group
NPI 1962440933 (330) 493-4443
Texas Children's Physician Group
956 mi
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
NPI 1861675506 (832) 824-1000

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 6

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
499 services237 patients
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.
280 services202 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.
22 services22 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
17 services17 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
14 services14 patients
Diagnostic exam of lung airway using an endoscope 31622
This procedure involves a doctor inserting a thin, flexible tube called an endoscope into your lung airway. It allows the doctor to view the airway and diagnose any issues. The process is safe and helps in accurate diagnosis.
13 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Ascension Seton Northwest

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450867
Location11113 Research BoulevardAustin, TX 78759 · Travis County
Emergency services Birthing friendly

Cedar Park Regional Medical Center

Acute Care Hospitals · Cedar Park, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number670043
Location1401 Medical ParkwayCedar Park, TX 78613 · Williamson County
Emergency services Birthing friendly

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670056
Location6001 Kyle PkwyKyle, TX 78640 · Hays County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
17 suppliers113 claims113 services$37.07 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers69 claims69 services$91.43 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers79 claims161 services$35.00 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
12 suppliers47 claims223 services$17.92 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers13 claims55 services$14.99 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
17 suppliers59 claims59 services$57.09 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 6

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

DR. MICHELLE BIEHL M.D.
Internal Medicine (Critical Care Medicine)
1205 S GRANGE AVE STE 407
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8900
DR. ROSS NOEL BACON M.D.
Internal Medicine (Pulmonary Disease)
1205 S GRANGE AVE STE 407
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8900
MELISSA FAYE LEHR CNP
Nurse Practitioner
1205 S GRANGE AVE STE 407
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8900
DR. MARY DEKKER NETTLEMAN M.D.
Internal Medicine (Infectious Disease)
1205 S GRANGE AVE STE 407
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8900
BRITTNEY LOU MULDER CNP
Nurse Practitioner
1205 S GRANGE AVE STE 407
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8900
KYLE CHRISTIAN ANDERSON CNP
Nurse Practitioner (Family)
1205 S GRANGE AVE STE 407
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8900

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 Chirag Patel's NPI number?

The NPI number for Chirag Patel is 1710141809. It was assigned to this individual provider in the NPPES registry on July 17, 2008.

Where is Chirag Patel located?

Chirag Patel practices at 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105. The listed phone number is (605) 328-8900.

What is Chirag Patel's specialty?

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

Is Chirag Patel enrolled in Medicare?

Yes. Chirag Patel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chirag Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chirag Patel reassigns Medicare benefits to 5 organizations: Austin Critical Care Specialists PA (Round Rock, TX), Usacs Critical Care Medicine Services Of Texas, PLLC (Cedar Park, TX), Central Texas Community Health Centers (Austin, TX), Travis County Emergency Physicians PA (Austin, TX) and Texas Children's Physician Group (Houston, TX). 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 Chirag Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chirag Patel accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Harbor Health, Moda Health Plan, Inc. and Sendero Health Plans, Local Nonprofit and 1 other insurer list Chirag 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 Chirag Patel affiliated with any hospitals?

According to CMS data, Chirag Patel is affiliated with Ascension Seton Medical Center Austin, Ascension Seton Northwest, Cedar Park Regional Medical Center and Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Chirag Patel was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.