Individual provider Active NPI

Dimpal Rashmikant Patel, PA-C

  • Physician Assistant
  • Detroit, MI
National Provider Identifier
1336343540
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010654 Issued in MI
Practice address
311 Mack Ave FL 5
Detroit, MI 48201-2466
Phone
(313) 832-0500
Fax
(313) 966-8400
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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 085-002968 IL
Physician Assistant 363A00000X 5601010654 MI Primary

Addresses

Primary practice location

311 Mack Ave FL 5
Detroit, MI 48201-2466

Mailing address

311 Mack Ave FL 5
Detroit, MI 48201-2466
Phone (313) 832-0500

Other practice location 1

25500 Meadowbrook Rd Ste 275
Novi, MI 48375-1884
Phone (248) 941-3424

Other practice location 2

22731 Newman St Ste 100A
Dearborn, MI 48124-2031
Phone (313) 561-4910

Other practice location 3

1611 W Harrison St
Ste 400
Chicago, IL 60612-3841
Phone (312) 243-4244

Other practice location 4

32300 Northwestern Hwy Ste 200
Farmington Hills, MI 48334-1501
Phone (586) 573-6880

Other identifiers 2

IdentifierTypeStateIssuer
209119OtherILMEDICARE PTAN LOCALITY 16
209118OtherILMEDICARE PTAN LOCALITY 15

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070710000780 IL Practitioner - Physician Assistant 3678673340 Reassigns benefits to 1 organization
I20211102000626 MI Practitioner - Physician Assistant 3678673340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Toledo College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Surgery Specialists PCGroup PAC ID 7113835075, 26 clinicians

Practice addresses (Care Compare)

11012 E 13 Mile Rd
Warren, MI 48093-2546
Phone (586) 573-6880

25500 Meadowbrook Rd
Novi, MI 48375-1884
Phone (248) 516-3519

Merit-based Incentive Payment System (MIPS)

Final score
81.94 of 100Reported as group
Quality
79.82
Promoting interoperability
100
Improvement activities
40
Cost
59.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085-002968ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Surgery Specialists, P.C. CurrentSince Jul 1, 2023 Accepting new patients
Michigan Surgery Specialists, P.C. CurrentSince Jul 1, 2023 Accepting new patients
Midwest Orthopaedics at Rush LLC CurrentSince Oct 15, 2007 Accepting new patients
Midwest Orthopaedics at Rush, LLC CurrentSince Oct 15, 2007 Accepting new patients
Michigan Surgery Specialists P.C. Past Accepting new patients

Locations

1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244

1611 W Harrison St
#400
Chicago, IL 60612
Phone (312) 243-4244

1 Westbrook Corporate Ctr
Ste 240
Westchester, IL 60154

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

22731 Newman St
Ste 100A
Dearborn, MI 48124
Phone (313) 359-9540

32300 Northwestern Hwy
Ste 200
Farmington Hills, MI 48334
Phone (248) 574-9534

37650 Professional Center Dr
Ste 105A
Livonia, MI 48154
Phone (734) 943-3838

25500 Meadowbrook Rd
Ste 275
Novi, MI 48375
Phone (248) 381-5777

11012 E 13 Mile Rd
Ste 112
Warren, MI 48093
Phone (586) 573-6880

31201 Chicago Rd S
Ste C302
Warren, MI 48093

Organizations & group practices 6

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1336343540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MACK AVE FL 5",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012466",
            "telephone_number": "313-832-0500",
            "fax_number": "313-966-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MACK AVE FL 5",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012466",
            "telephone_number": "313-832-0500",
            "fax_number": "313-966-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25500 Meadowbrook Rd Ste 275",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483751884",
            "country_code": "US",
            "telephone_number": "248-941-3424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22731 Newman St Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242031",
            "country_code": "US",
            "telephone_number": "313-561-4910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 W Harrison St",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123841",
            "country_code": "US",
            "telephone_number": "312-243-4244",
            "fax_number": "312-942-1517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32300 Northwestern Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483341501",
            "country_code": "US",
            "telephone_number": "586-573-6880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DIMPAL",
        "middle_name": "RASHMIKANT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-002968",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN LOCALITY 16",
            "identifier": "209119",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN LOCALITY 15",
            "identifier": "209118",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.