Individual provider Active NPI

Dhaval Patel, D.O.

  • Diagnostic Radiology Physician
  • Memphis, TN
National Provider Identifier
1811376254
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4384 Issued in TN
Practice address
877 Jefferson Ave
Memphis, TN 38103-2807
Phone
(937) 479-2082
NPI assigned
May 19, 2015
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 58.031326 OH
Diagnostic Radiology Physician 2085R0202X 81037 WI
Diagnostic Radiology Physician 2085R0202X 4384 TN Primary

Addresses

Primary practice location

877 Jefferson Ave
Memphis, TN 38103-2807

Mailing address

877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-6623

Other practice location 1

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (937) 479-2082

Other practice location 2

55 North Perry Street
Pontiac, MI 48342
Phone (248) 338-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH, FL, WI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20210715002892 TN Practitioner - Diagnostic Radiology 9032421458
I20220107001002 OH Practitioner - Diagnostic Radiology 9032421458 Reassigns benefits to 4 organizations
I20220725002633 FL Practitioner - Diagnostic Radiology 9032421458 Reassigns benefits to 1 organization
I20230208000119 WI Practitioner - Diagnostic Radiology 9032421458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie Col of Osteopathic Medicine, Bradenton, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology IncGroup PAC ID 1658274543, 56 clinicians
The Medical College of Wisconsin IncGroup PAC ID 2668384371, 2,092 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

1120 Polaris Pkwy
Columbus, OH 43240-4042
Phone (614) 430-9600

1155 N Mayfair Rd
Wauwatosa, WI 53226-3462
Phone (414) 955-5990

1700 W Paradise Dr
West Bend, WI 53095-9795
Phone (262) 334-3451

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

21700 Intertech Dr
Brookfield, WI 53045-5197
Phone (262) 532-8300

2315 E Moreland Blvd
Waukesha, WI 53186-2939
Phone (262) 532-5700

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone (904) 399-5550

3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 836-7300

3212 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 334-6165

4805 S Moorland Rd
New Berlin, WI 53151-7401
Phone (262) 798-7200

8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666

8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666

W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060

W180 N8065 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 251-1000

W180N8000 Town Hall Rd
Menomonee Falls, WI 53051-4002
Phone (262) 255-2500

W180N8071 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 253-2700

W180N8085 Town Hall Rd
Suite 301
Menomonee Falls, WI 53051-3518
Phone (262) 257-3200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58.031326OHMDDiagnostic Radiology Physician
4384TNMDDiagnostic Radiology Physician
81037WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Multi-Specialty CurrentSince Feb 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Multi-Specialty CurrentSince May 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince May 1, 2022 Accepting new patients
Sheridan Radiology Services of Central Florida Inc Multi-Specialty Current Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Multi-Specialty CurrentSince Feb 1, 2023 Accepting new patients
Radiology Inc Multi-Specialty CurrentSince Oct 15, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Multi-Specialty Current Accepting new patients
Columbus Radiology Corp Multi-Specialty CurrentSince May 1, 2022 Accepting new patients
The Medical College of Wisconsin, Inc. Multi-Specialty CurrentSince Feb 1, 2023 Accepting new patients

Locations

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

7755 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-2230

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

1120 Polaris Pkwy
Columbus, OH 43240
Phone (614) 430-9600

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241

Dept L647
Columbus, OH 43260

1375 Stringtown Rd
Grove City, OH 43123
Phone (614) 352-6479

10330 Sawmill Pkwy
Ste 500
Powell, OH 43065
Phone (614) 234-0522

12037 Sheraton Ln
Springdale, OH 45246
Phone (513) 671-3320

1932 Niles Cortland Rd NE
Ste X
Warren, OH 44484
Phone (330) 306-5371

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Interoperability endpoints

  • Direct secure messaging: dpatel612988@direct.froedtert.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1811376254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032807",
            "telephone_number": "901-545-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032807",
            "telephone_number": "937-479-2082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "937-479-2082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 North Perry Street",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "48342",
            "country_code": "US",
            "telephone_number": "248-338-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHAVAL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "58.031326",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "81037",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "4384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.