Individual provider Active NPI

Dhruvit Harshadbhai Patel, MBBS, PA-C

  • Physician Assistant
  • Whitestown, IN
National Provider Identifier
1366027971
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003397A Issued in IN
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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.57 of 100Reported as group
Quality
71.8
Improvement activities
40
Cost
80.85

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IA2 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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
125990IAMDPhysician Assistant
10003397AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Dec 15, 2022 Accepting new patients
Cep America LLC CurrentSince Dec 15, 2022 Accepting new patients
Vituity-Iowa PLLC CurrentSince Jul 15, 2024 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)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10003397A IN Primary
Physician Assistant 363A00000X 125990 IA

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.