Individual provider Active NPI

Dhagash Pankaj Patel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Raleigh, NC
National Provider Identifier
1912428608
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
746 Issued in NC
Practice address
8305 Falls of Neuse Rd Ste 100
Raleigh, NC 27615-3546
Phone
(919) 846-1111
Fax
(919) 846-1099
NPI assigned
Jul 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 746 NC Primary

Addresses

Primary practice location

8305 Falls of Neuse Rd Ste 100
Raleigh, NC 27615-3546

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpatel642670@direct.unc.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200729000768 NC Practitioner - Podiatry 6103241849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network Group Practices LLCGroup PAC ID 7810142833, 42 clinicians

Practice addresses (Care Compare)

3900 Browning PL
Suite 101
Raleigh, NC 27609-6529
Phone (919) 781-9650

8305 Falls of Neuse Rd
Suite 100
Raleigh, NC 27615-3546
Phone (919) 846-1111

Hospital & facility affiliations

  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30
Removal of skin lesions15
Removal of nail tissue109
Removal or shaving of skin growth45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
746NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network Group Practices, LLC Current Accepting new patients
Unc Physicians Network Group Practices, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2020 Accepting new patients
Unc Physicians Network Group Practices, LLC CurrentSince Jul 1, 2020 Accepting new patients
Rex Surgery Center of Wakefield, LLC PastSince Nov 25, 2024 Accepting new patients
Boylan Medical Associates PLLC Past Accepting new patients

Locations

1505 SW Cary Pkwy
Ste 200
Cary, NC 27511
Phone (919) 303-6890

501 Health Park Dr
Ste 180
Garner, NC 27529
Phone (919) 550-0000

6602 Knightdale Blvd
Ste 203
Knightdale, NC 27545
Phone (919) 295-4600

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

8305 Falls of Neuse Rd
Ste 100
Raleigh, NC 27615
Phone (919) 846-1111

3900 Browning Pl
Ste 101
Raleigh, NC 27609

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.

Hospital & facility affiliations 1

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1912428608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 FALLS OF NEUSE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153546",
            "telephone_number": "919-846-1111",
            "fax_number": "919-846-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHAGASH",
        "middle_name": "PANKAJ",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpatel642670@direct.unc.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "8305 Falls Of Neuse Rd Ste 100",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276153546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.