SURESH DHITAL M.D.
NPI 1902210420
Internal Medicine in Chesterfield, MO

Active since June 12, 2014PECOS EnrolledAccepts Medicare Assignment
89.23/100
CMS Quality Rating
222 S WOODS MILL RD, CHESTERFIELD, MO 63017(314) 205-6050(314) 434-5939 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Suresh Dhital M.d. NPPES

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

SURESH DHITAL M.D. (NPI 1902210420) is an individual internal medicine provider in Chesterfield, Missouri, licensed in Missouri (2014016488) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1902210420
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSURESH DHITALCredential: M.D.
Location Address222 S WOODS MILL RDChesterfield, MO 63017-3625
Mailing Address222 S Woods Mill RdChesterfield, MO 63017-3625 · (314) 205-6050 · Fax (314) 434-5939
Fax(314) 434-5939
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 12, 2014
NPI 1902210420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · 2014016488
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.
222 S WOODS MILL RD, Chesterfield, MO 63017

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Suresh Dhital 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 ID9931401767
PECOS Enrollment IDI20170728002222
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.

Areas of Expertise CMS Part B claims 5

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.

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.
488 services227 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
292 services156 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
179 services176 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.
161 services158 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

89.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.14
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$69.20 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$34.29 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 20

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

Clinical Nurse Specialist (Adult Health)
222 S WOODS MILL RD, SUITE 480 N
CHESTERFIELD, MO 63017
Internal Medicine (Endocrinology, Diabetes & Metabolism)
222 S WOODS MILL RD, SUITE 410N
CHESTERFIELD, MO 63017
Internal Medicine
222 S WOODS MILL RD, SUITE 350N
CHESTERFIELD, MO 63017
Nurse Practitioner (Adult Health)
222 S WOODS MILL RD, SUITE 410N
CHESTERFIELD, MO 63017
Internal Medicine (Pulmonary Disease)
222 S WOODS MILL RD, SUITE 310 NORTH
CHESTERFIELD, MO 63017
Ophthalmology
222 S WOODS MILL RD, SUITE 660N
CHESTERFIELD, MO 63017
Internal Medicine (Geriatric Medicine)
222 S WOODS MILL RD
CHESTERFIELD, MO 63017
Internal Medicine (Infectious Disease)
222 S WOODS MILL RD
CHESTERFIELD, MO 63017

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 Suresh Dhital's NPI number?

The NPI number for Suresh Dhital is 1902210420. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Where is Suresh Dhital located?

Suresh Dhital practices at 222 S Woods Mill Rd, Chesterfield, MO 63017. The listed phone number is (314) 205-6050.

What is Suresh Dhital's specialty?

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

Is Suresh Dhital enrolled in Medicare?

Yes. Suresh Dhital 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.

What insurance does Suresh Dhital accept?

Health plans from Oscar Insurance Company list Suresh Dhital 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 Suresh Dhital affiliated with any hospitals?

According to CMS data, Suresh Dhital is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Suresh Dhital was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.