Individual provider Active NPI

Dipesh Ratilal Patel, MD

  • Family Medicine Physician
  • Macon, GA
National Provider Identifier
1700985454
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
053512 Issued in GA
Practice address
3780 Eisenhower Pkwy
Macon, GA 31206-0800
Phone
(478) 633-5550
Fax
(478) 784-5496
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 053512 GA Primary

Addresses

Primary practice location

3780 Eisenhower Pkwy
Macon, GA 31206-0800

Mailing address

3780 Eisenhower Pkwy
Macon, GA 31206-0800
Phone (478) 633-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050315000960 GA Practitioner - Family PracticePractitioner - Geriatric Medicine 8022063700 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Macon Family Healthcare Associates 5 clinicians

Practice addresses (Care Compare)

420 Lamar Rd N
Macon, GA 31210-7110
Phone 4784710089131

Hospital & facility affiliations

  • Amedisys Home Health of Macon Home health agency, Macon, GA, CCN 117093
  • Enhabit Home Health Home health agency, Macon, GA, CCN 117152
  • Pruitthealth Hospice-Macon Hospice, Macon, GA, CCN 111545
  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
  • Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201
  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
  • Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310
  • Atrium Health Navicent Rehabilitation Hospital Inpatient rehabilitation facility, Macon, GA, CCN 113029
  • PruittHealth - Peake Nursing home, Macon, GA, CCN 115394

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Center of Central Georgia Inc. Current Accepting new patients
North Macon Family Healthcare Associates Family Medicine CurrentSince Jul 5, 2022 Accepting new patients
Health Services of Central Georgia, Inc Family Medicine CurrentSince Jul 1, 2008 Accepting new patients
The Medical Center of Central Georgia Inc CurrentSince Jan 1, 2005 Accepting new patients
Pruitthealth - Peake, LLC Past Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients

Locations

540 Charter Blvd
Ste 400
Macon, GA 31210
Phone (478) 471-0710

770 Pine St
Ste 140
Macon, GA 31201
Phone (478) 633-1821

540 Charter Blvd
Ste 100
Macon, GA 31210
Phone (478) 471-0089

4035 Elnora Dr
Macon, GA 31210
Phone (478) 201-6500

3351 Northside Dr
Macon, GA 31210
Phone (478) 201-6500

420 Lamar Rd N
Macon, GA 31210
Phone (478) 471-0089

3400 Riverside Dr
Macon, GA 31210
Phone (478) 474-5600

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • Direct secure messaging: dpatel433716@carolinashealthcaresystem.direct-ci.com

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.

Hospital & facility affiliations 9

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1700985454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 EISENHOWER PKWY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312060800",
            "telephone_number": "478-633-5550",
            "fax_number": "478-784-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 EISENHOWER PKWY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312060800",
            "telephone_number": "478-633-5550",
            "fax_number": "478-784-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DIPESH",
        "middle_name": "RATILAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "053512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.