Individual provider Active NPI

Dharmik Patel, MD

  • Dermatology Physician
  • Waconia, MN
National Provider Identifier
1316408081
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
78689 Issued in MN
Practice address
560 S Maple St Ste 400
Waconia, MN 55387-1757
Phone
(952) 442-3188
Fax
(952) 442-7861
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 78689 MN Primary

Addresses

Primary practice location

560 S Maple St Ste 400
Waconia, MN 55387-1757

Mailing address

560 S Maple St Ste 400
Waconia, MN 55387-1757
Phone (952) 442-3188

Other practice location 1

675 Water St
Excelsior, MN 55331-3158
Phone (952) 442-3188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230523002854 OH Practitioner - Dermatology 2466877519 Reassigns benefits to 1 organization
I20250520001792 MN Practitioner - Dermatology 2466877519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Columbia School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

560 S Maple St
Waconia, MN 55387-1757

675 Water St
Excelsior, MN 55331-3072
Phone (952) 906-7855

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision32
Removal of skin lesions196
Removal or shaving of skin growth17
Skin biopsy117

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Dermatology, Inc. Dermatology CurrentSince May 1, 2023 Accepting new patients
Ridgeview Medical Center CurrentSince May 12, 2025 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Ridgeview Medical Center CurrentSince May 12, 2025 Accepting new patients
CH Specialty Services TX PLLC PastSince Sep 1, 2024 Accepting new patients

Locations

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 115N
Chaska, MN 55318
Phone (952) 361-2450

675 Water St
Excelsior, MN 55331
Phone (952) 906-7855

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

560 S Maple St
Ste 400
Waconia, MN 55387
Phone (952) 442-3188

6100 S Broadway
Ste 101
Lorain, OH 44053
Phone (440) 282-9114

18660 Bagley Rd
Bldg 1
Middleburg Heights, OH 44130
Phone (440) 234-8746

26908 Detroit Rd
Ste 103
Westlake, OH 44145
Phone (440) 249-0274

Interoperability endpoints

  • Direct secure messaging: dpatel@associatesinderm.emadirect.md

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1316408081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S MAPLE ST STE 400",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871757",
            "telephone_number": "952-442-3188",
            "fax_number": "952-442-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S MAPLE ST STE 400",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871757",
            "telephone_number": "952-442-3188",
            "fax_number": "952-442-7861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Water St",
            "address_purpose": "LOCATION",
            "city": "Excelsior",
            "state": "MN",
            "postal_code": "553313158",
            "country_code": "US",
            "telephone_number": "952-442-3188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHARMIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "78689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

Verify at the official NPI Registry.