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DR. CHIRAG MADHUSUDAN PATEL D.M.D., M.D.
NPI 1922397645
Dentist - Oral and Maxillofacial Surgery in Fremont, CA

Active since April 04, 2011Opted out of Medicare · through Aug 23, 2026
4545 MATTOS DR, FREMONT, CA 94536(510) 792-9405(415) 792-0212 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Chirag Madhusudan Patel D.m.d., M.d. NPPES

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

DR. CHIRAG MADHUSUDAN PATEL D.M.D., M.D. (NPI 1922397645) is an individual oral and maxillofacial surgery provider in Fremont, California, licensed in California (60334) and active in the NPI registry since April 2011. He has opted out of Medicare through August 23, 2026.

NPPES Registry Identity

NPI1922397645
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. CHIRAG MADHUSUDAN PATELCredential: D.M.D., M.D.
Location Address4545 MATTOS DRFremont, CA 94536-6736
Mailing Address4545 Mattos DrFremont, CA 94536-6736 · (510) 792-9405 · Fax (510) 792-0212
Phone(510) 792-9405
Fax(415) 792-0212
Sole ProprietorNo
Enumeration DateApril 4, 2011
Last NPPES UpdateMay 12, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1922397645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 60334
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License A122633 (CA)
4545 MATTOS DR, Fremont, CA 94536
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Chirag Madhusudan Patel D.m.d., M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 23, 2022 through August 23, 2026.

Opt-Out Effective DateAugust 23, 2022
Opt-Out In Effect ThroughAugust 23, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

RICHARD I SUTEDJA DDS
Dentist (General Practice)
4545 MATTOS DR
FREMONT, CA 94536
Alameda County (510) 797-3769
FREMONT ORAL & MAXILLOFACIAL SURGERY
Oral & Maxillofacial Surgery
4545 MATTOS DR
FREMONT, CA 94536
Alameda County (510) 792-9405
DR. LINN HTET MAUNG M.D
Student in an Organized Health Care Education/Training Program
4545 MATTOS DR
FREMONT, CA 94536
Alameda County (415) 476-1239

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 1922397645. It was assigned to this individual provider in the NPPES registry on April 4, 2011.

Where is Chirag Patel located?

Chirag Patel practices at 4545 Mattos Dr, Fremont, CA 94536. The listed phone number is (510) 792-9405.

What is Chirag Patel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Chirag Patel enrolled in Medicare?

No. Chirag Patel has opted out of Medicare through August 23, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Chirag Patel was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.