Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DIVYESH GAJU PATEL M.D.
NPI 1821137563
Radiology - Diagnostic Radiology in Munster, IN

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
78.3/100
CMS Quality Rating
1143 TREADWAY RD, MUNSTER, IN 46321(219) 789-6212 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Divyesh Gaju Patel M.d. NPPES

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

DR. DIVYESH GAJU PATEL M.D. (NPI 1821137563) is an individual diagnostic radiology provider in Munster, Indiana, licensed in Indiana (01063311A) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of Northeastern Ohio University College Of Medicine (1999).

NPPES Registry Identity

NPI1821137563
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. DIVYESH GAJU PATELCredential: M.D.
Location Address1143 TREADWAY RDMunster, IN 46321-2856
Mailing Address1143 Treadway RdMunster, IN 46321-2856 · (219) 789-6212
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1999
Enumeration DateFebruary 6, 2007
Last NPPES UpdateOctober 15, 2026
NPPES CertifiedOctober 15, 2026
✔ NPI 1821137563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in IN · 01063311A
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1143 TREADWAY RD, Munster, IN 46321

Other Identifiers 2

OtherP00413508IN · Rr Medicare
Medicaid200866910IN

Accepted Insurance

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

Dr. Divyesh Gaju 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 ID2264466770
PECOS Enrollment IDI20070709000497, I20260209002243
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

6

Medicare enrollment records show Divyesh Patel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1000 E 80TH PL, SUITE 308S
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana enrollment
  • 6 clinicians in this Medicare group
Diagnostic Radiology
85 E US HIGHWAY 6
Valparaiso, IN 46383
  • Reassigned Medicare billing, Indiana enrollment
  • 11 clinicians in this Medicare group
Rural Health
414 LANE ST
North Judson, IN 46366
  • Reassigned Medicare billing, Indiana enrollment
  • Also billed through NPI 1306928213 (Indiana)
  • 63 clinicians in this Medicare group
Diagnostic Radiology
2001 W 86TH ST
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 219 clinicians in this Medicare group
Anesthesiology
303 S MAIN ST
Bluffton, IN 46714
  • Reassigned Medicare billing, Indiana enrollment
  • 15 clinicians in this Medicare group
Diagnostic Radiology
1010 4TH ST SW, SUITE 100
Mason City, IA 50401
  • Reassigned Medicare billing, Iowa enrollment
  • 18 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.

Areas of Expertise CMS Part B claims 62

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
468 services386 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
195 services189 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
160 services153 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
147 services147 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
145 services145 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
89 services87 patients

Hospital Affiliations CMS Care Compare 5

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

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160064
Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County
Emergency services Birthing friendly

Hancock County Health System

Critical Access Hospitals · Britt, IA
OwnershipGovernment - Local
CMS Certification Number161307
Location532 1st St NWBritt, IA 50423 · Hancock County
Emergency services

Mitchell County Regional Health

Critical Access Hospitals · Osage, IA
OwnershipGovernment - Local
CMS Certification Number161323
Location616 North Eighth StreetOsage, IA 50461 · Mitchell County
Emergency services

Kossuth Regional Health Center

Critical Access Hospitals · Algona, IA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161353
Location1515 South Phillips StreetAlgona, IA 50511 · Kossuth County
Emergency services Birthing friendly

Hansen Family Hospital

Critical Access Hospitals · Iowa Falls, IA
OwnershipGovernment - Local
CMS Certification Number161380
Location920 South Oak StreetIowa Falls, IA 50126 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 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.

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.

78.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.6
Improvement Activities40

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 Divyesh Patel's NPI number?

The NPI number for Divyesh Patel is 1821137563. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Divyesh Patel located?

Divyesh Patel practices at 1143 Treadway Rd, Munster, IN 46321. The listed phone number is (219) 789-6212.

What is Divyesh Patel's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Divyesh Patel enrolled in Medicare?

Yes. Divyesh 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 Divyesh Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Divyesh Patel reassigns Medicare benefits to 6 organizations: Vein Associates Of Northwest Indiana LLC (Merrillville, IN), Radiologic Associates Of Northwest Indiana, PC (Valparaiso, IN), Pulaski Memorial Hospital (North Judson, IN), Imaging Associates Of Indiana, PC (Indianapolis, IN), Lutheran Hbp Services, LLC (Bluffton, IN) and 1 more organization, listed in the Medicare section above. 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 Divyesh Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Divyesh Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Wellmark Health Plan of Iowa, Inc. list Divyesh 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 Divyesh Patel affiliated with any hospitals?

According to CMS data, Divyesh Patel is affiliated with Mercyone North Iowa Medical Center, Hancock County Health System, Mitchell County Regional Health, Kossuth Regional Health Center and Hansen Family Hospital.

When was this NPI record last updated?

The NPPES record for Divyesh Patel was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.