Suketu Patel, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

H0092858 Issued in MD

Practice address

3010 Williams Dr
Suite 177
Georgetown, TX 78628-2764

Phone

(512) 868-3376

Fax

(512) 869-5868

NPI assigned

Dec 18, 2006

Last updated

Apr 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, MD, MI, OH4 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

Specialty

Pathology

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Toledo Clinic PLLCGroup PAC ID 8426585142, 12 clinicians

Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.75 of 100Reported as group

Promoting interoperability

95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anne Arundel Dermatology LLC

  • Dermatology Physician
  • Annapolis, MD
  • NPI 1063481703
  Medicare reassignment Care Compare group NPD
• Toledo Clinic PLLC

  • Dermatology Physician
  • Wauseon, OH
  • NPI 1326538703

  MI

  Medicare reassignment Care Compare group NPD
• Mountain West Derm - Blackhart PLLC

  dba Vitalogy Skincare

  • Dermatology Physician
  • Georgetown, TX
  • NPI 1366018848
  Medicare reassignment NPD
• Mountain West Derm-Blackhart, PLLC

  • Dermatology Physician
  • Tigard, OR
  • NPI 1316656994
  NPD
• Toledo Clinic PLLC

  • Dermatology Physician
  • Lambertville, MI
  • NPI 1700842796
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1932262433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 WILLIAMS DR STE 177",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282785",
            "telephone_number": "512-868-3376",
            "fax_number": "512-869-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 WILLIAMS DR",
            "address_2": "SUITE 177",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282764",
            "telephone_number": "512-868-3376",
            "fax_number": "512-869-5868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Cooper St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481611676",
            "country_code": "US",
            "telephone_number": "419-479-5791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1090 N Shoop Ave",
            "address_purpose": "LOCATION",
            "city": "Wauseon",
            "state": "OH",
            "postal_code": "435671821",
            "country_code": "US",
            "telephone_number": "419-330-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUKETU",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "TX",
            "license": "N7325",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "MI",
            "license": "5101028889",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "H0092858",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "229989",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "OH",
            "license": "34.010908",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143636",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karina Patel, PA-C
• Madri Patel, PMHNP-BC
• Pretik Rajesh Patel, PHARMD
• Rohitkumar Patel, M.D.
• Shilpa B Patel, O.D
• Dave B Patrocinio
• Griselda Onofre Pattillo, LCSW
• Scott Thomas Pattison, DPM
• Kimberly Sue Patton, FNP-C
• Lorena Paulino Brito

• Dermatology Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.

Verify at the official NPI Registry.