NPIMap

Individual provider Active NPI

Dipak N Patel, D.O.

  • Family Medicine Physician
  • Meriden, CT
National Provider Identifier
1952568834
Registry record updated Apr 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47386 Issued in CT
Practice address
134 State St
Meriden, CT 06450-3293
Phone
(203) 237-2229
Fax
(203) 686-1766
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 047386 CT
Hospitalist Physician 208M00000X 47386 CT
Family Medicine Physician 207Q00000X 47386 CT Primary

Addresses

Primary practice location

134 State St
Meriden, CT 06450-3293

Mailing address

419 Scarborough LN
Middletown, CT 06457-7551
Phone (516) 993-2847

Other identifiers 1

IdentifierTypeStateIssuer
004236346MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090814000091 CT Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 7810041597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health Center IncGroup PAC ID 0547169138, shared by 14 NPIs, 149 clinicians
Midstate Medical CenterGroup PAC ID 7416840699, 187 clinicians
Connecticut Lifestyle MedicineGroup PAC ID 0941629448, 2 clinicians

Practice addresses (Care Compare)

134 State St
Meriden, CT 06450-3293
Phone (203) 237-2229

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8200

955 S Main St
Unit B201
Middletown, CT 06457-5153
Phone (860) 788-6573

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.06 of 100Reported as group
Quality
87.5
Promoting interoperability
100
Improvement activities
40
Cost
77.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047386CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Lifestyle Medicine Family Medicine CurrentSince Aug 19, 2019 Accepting new patients
Midstate Medical Center Past Accepting new patients
Community Health Center Inc. Family Medicine Past Accepting new patients

Locations

955 S Main St
Unit B201
Middletown, CT 06457
Phone (860) 788-6573

955 S Main St
#B201
Middletown, CT 06457
Phone (203) 533-2351

Interoperability endpoints

  • Direct secure messaging: dipak.patel@chcict.eclinicaldirectplus.com
  • Direct secure messaging: dipak.patel@xdr.hhchealthdirect.org

Organizations & group practices 4

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 3

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587168000000",
    "number": "1952568834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 SCARBOROUGH LN",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064577551",
            "telephone_number": "516-993-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 STATE ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064503293",
            "telephone_number": "203-237-2229",
            "fax_number": "203-686-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DIPAK",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "047386",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "47386",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "47386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236346",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.