Active NPI
Dhruvit Harshadbhai Patel, MBBS, PA-C
- Physician Assistant
- Whitestown, IN
National Provider Identifier
1366027971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10003397A
- Practice address
- 5765 Blue Sky Dr
Whitestown, IN 46075-9717 - Phone
- (908) 525-6661
- NPI assigned
- Mar 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
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.
-
- Emergency Medicine Physician
- Valparaiso, IN
- NPI 1508683400
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Bettendorf, IA
- NPI 1871378752
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.57 of 100
- Quality
- 71.8
- Improvement activities
- 40
- Cost
- 80.85
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211101001533 | IN | Practitioner - Physician Assistant | 2264820828 | Reassigns benefits to 1 organization |
| I20240803000611 | IA | Practitioner - Physician Assistant | 2264820828 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125990 | IA | MD | Physician Assistant |
| 10003397A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Vituity-Iowa PLLC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10003397A | IN | Primary |
| Physician Assistant | 363A00000X | 125990 | IA |
Addresses
NPPES NPI RegistryPrimary practice location
5765 Blue Sky Dr
Whitestown, IN 46075-9717
Mailing address
5765 Blue Sky Dr
Whitestown, IN 46075-9717
Phone (908) 525-6661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2024.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1366027971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5765 BLUE SKY DR",
"city": "WHITESTOWN",
"state": "IN",
"postal_code": "460759717",
"telephone_number": "908-525-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5765 BLUE SKY DR",
"city": "WHITESTOWN",
"state": "IN",
"postal_code": "460759717",
"telephone_number": "908-525-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DHRUVIT",
"middle_name": "HARSHADBHAI",
"credential": "MBBS, PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-15",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10003397A",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "125990",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitestown, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.