Individual provider Active NPI

Dipal Patel, PA-C

  • Physician Assistant
  • Columbia, MD
National Provider Identifier
1073155586
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0007354 Issued in MD
Practice address
5755 Cedar LN
Columbia, MD 21044-2912
Phone
(410) 740-7890
NPI assigned
Oct 16, 2019
Last updated
Oct 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0007354 MD Primary

Addresses

Primary practice location

5755 Cedar LN
Columbia, MD 21044-2912

Mailing address

1702 Wilson Point Rd
Middle River, MD 21220-5436
Phone (443) 449-9352

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DIPALP1@UMBC.EDU

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200204002796 MD Practitioner - Physician Assistant 5496181760 Reassigns benefits to 3 organizations
I20231009001103 DC Practitioner - Physician Assistant 5496181760 Reassigns benefits to 3 organizations
I20260519000283 VA Practitioner - Physician Assistant 5496181760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Management Group LLCGroup PAC ID 6709115298, 22 clinicians
M Medical Group, Inc.Group PAC ID 7719278597, 104 clinicians
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

223 7TH St NE
Washington, DC 20002-7045
Phone (202) 543-4800

4011 Randolph Rd
Wheaton, MD 20902-1054
Phone (301) 933-2500

4601 Martin Luther King Jr Ave SW
Washington, DC 20032-1131
Phone (202) 574-5700

4806 U St NW
Washington, DC 20007-1546
Phone (202) 731-1638

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-6000

9106 Pine View LN
Clinton, MD 20735-3229
Phone (301) 865-2930

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.26 of 100Reported as group
Quality
81.56
Promoting interoperability
100
Improvement activities
40
Cost
69.29

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
77.19
Improvement activities
40
Cost
63.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0007354MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc Physician Assistant CurrentSince May 16, 2022 Accepting new patients
M Management Group LLC CurrentSince Jul 1, 2024 Accepting new patients
M Medical Group, Inc. CurrentSince Dec 4, 2023 Accepting new patients
M Management Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Oct 26, 2020 Accepting new patients
M Management Group LLC CurrentSince Sep 7, 2024 Accepting new patients
M Medical Group, Inc. CurrentSince Dec 4, 2023 Accepting new patients
St Agnes Healthcare Inc CurrentSince May 16, 2022 Accepting new patients

Locations

223 7th St NE
Washington, DC 20002
Phone (202) 543-4800

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

1502 Frederick Rd
Catonsville, MD 21228
Phone (410) 747-0120

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

4011 Randolph Rd
Wheaton, MD 20902
Phone (301) 933-2500

Interoperability endpoints

  • Direct secure messaging: dipalp1@umbc.edu
  • Direct secure messaging: dpatel570936@direct.hopkinsmedicine.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1073155586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 WILSON POINT RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212205436",
            "telephone_number": "443-449-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 CEDAR LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442912",
            "telephone_number": "410-740-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DIPAL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DIPALP1@UMBC.EDU",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "address_1": "5755 Cedar Ln",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210442912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.