Individual provider Active NPI

Dishant Manishkumar Patel, PA-C

  • Physician Assistant
  • Stow, OH
National Provider Identifier
1083409411
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA066736 Issued in PA
Practice address
2863 Graham Rd Apt 8
Stow, OH 44224-3674
Phone
(330) 860-0107
NPI assigned
Apr 14, 2025
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X MA066736 PA Primary

Addresses

Primary practice location

2863 Graham Rd Apt 8
Stow, OH 44224-3674

Mailing address

2863 Graham Rd Apt 8
Stow, OH 44224-3674
Phone (330) 860-0107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251002004547 PA Practitioner - Physician Assistant 0143729244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Indiana Medical College, School of Medicine of Purdue University, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 890-3030

380 N Oxford Valley Rd
Langhorne, PA 19047-8304
Phone (215) 750-6566

380 Oxford Valley Rd
Langhorne, PA 19047-8304

3998 Red Lion Rd
Philadelphia, PA 19114-1445
Phone (215) 992-6002

4900 Frankford Ave
Philadelphia, PA 19124-2618
Phone (215) 612-5390

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA066736PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services CurrentSince Aug 1, 2025 Accepting new patients
Aria Health Physician Services CurrentSince Aug 1, 2025 Accepting new patients

Locations

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

Organizations & group practices 3

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 1

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": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1083409411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 GRAHAM RD APT 8",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442243674",
            "telephone_number": "330-860-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 GRAHAM RD APT 8",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442243674",
            "telephone_number": "330-860-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DISHANT",
        "middle_name": "MANISHKUMAR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

Verify at the official NPI Registry.