HIMALI PATEL DMD
NPI 1801729785
Dentist - General Practice in Michigan City, IN

Active since June 08, 2026PECOS Enrolled
200 ALFRED ST, MICHIGAN CITY, IN 46360(219) 872-6200(219) 879-2915 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Himali Patel Dmd NPPES

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

HIMALI PATEL DMD (NPI 1801729785) is an individual general practice provider in Michigan City, Indiana, licensed in Indiana (12015050A) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1801729785
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameHIMALI PATELCredential: DMD
Location Address200 ALFRED STMichigan City, IN 46360-7303
Mailing Address1200 S Leslie LnDes Plaines, IL 60018-5535 · (847) 895-9003
Fax(219) 879-2915
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 8, 2026
NPPES CertifiedMay 14, 2026
✔ NPI 1801729785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12015050A
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
200 ALFRED ST, Michigan City, IN 46360

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Himali Patel Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527525617
PECOS Enrollment IDI20260808000291
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 Reassignment

Medicare enrollment records show Himali Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
200 ALFRED ST
Michigan City, IN 46360
  • Reassigned Medicare billing, Indiana enrollment
  • 183 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46360 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 9

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

Clinic/Center (Federally Qualified Health Center (FQHC))
200 ALFRED ST
MICHIGAN CITY, IN 46360
Pediatrics
200 ALFRED ST
MICHIGAN CITY, IN 46360
Nurse Practitioner (Family)
200 ALFRED ST
MICHIGAN CITY, IN 46360
Pharmacist
200 ALFRED ST
MICHIGAN CITY, IN 46360
Nurse Practitioner (Family)
200 ALFRED ST
MICHIGAN CITY, IN 46360
Nurse Practitioner (Family)
200 ALFRED ST
MICHIGAN CITY, IN 46360
Nurse Practitioner (Family)
200 ALFRED ST
MICHIGAN CITY, IN 46360
Pharmacy (Clinic Pharmacy)
200 ALFRED ST
MICHIGAN CITY, IN 46360

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 Himali Patel's NPI number?

The NPI number for Himali Patel is 1801729785. It was assigned to this individual provider in the NPPES registry on June 8, 2026.

Where is Himali Patel located?

Himali Patel practices at 200 Alfred St, Michigan City, IN 46360. The listed phone number is (219) 872-6200.

What is Himali Patel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Himali Patel enrolled in Medicare?

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

Which organization bills Medicare for Himali Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Himali Patel reassigns Medicare benefits to Healthlinc, Inc. (Michigan City, IN). The 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 Himali Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Himali Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Himali 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 Himali Patel was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.