Individual provider Active NPI

Dipa H. Patel, MD

  • Diagnostic Radiology Physician
  • Los Gatos, CA
National Provider Identifier
1295799104
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C51518 Issued in CA
Practice address
15195 National Ave
Suite 201
Los Gatos, CA 95032-2631
Phone
(408) 800-5247
Fax
(408) 356-5526
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C51518 CA Primary

Addresses

Primary practice location

15195 National Ave
Suite 201
Los Gatos, CA 95032-2631

Mailing address

15195 National Ave
Suite 201
Los Gatos, CA 95032-2631
Phone (408) 800-5247

Other identifiers 1

IdentifierTypeStateIssuer
0C5151800MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000588 CA Practitioner - Diagnostic Radiology 8628060605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Carolina at Chapel Hill School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14651 S Bascom Ave
Suite 210
Los Gatos, CA 95032-2045
Phone (408) 356-6611

15195 National Ave
St 201
Los Gatos, CA 95032-2631

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
0
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
60 of 100Reported as individual
Quality
20
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C51518CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mammography Specialists Medical Group, Inc Diagnostic Radiology CurrentSince Mar 14, 2017 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
Norcal Imaging Diagnostic Radiology Past Accepting new patients

Locations

14651 S Bascom Ave
Ste 210
Los Gatos, CA 95032
Phone (408) 356-6611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1295799104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15195 NATIONAL AVE",
            "address_2": "SUITE 201",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322631",
            "telephone_number": "408-800-5247",
            "fax_number": "408-356-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15195 NATIONAL AVE",
            "address_2": "SUITE 201",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322631",
            "telephone_number": "408-800-5247",
            "fax_number": "408-356-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DIPA",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C51518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0C5151800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.