DIPA SUMAN PATEL (MD) – Dermatology Physician, NPI 1205836962

DIPA SUMAN PATEL (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 4301067695 (MI). The NPI Number for DIPA SUMAN PATEL (MD) is 1205836962

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DIPA SUMAN PATEL (MD)
NPI
1205836962
Phone
(616) 248-8864
Address
555 MIDTOWNE ST NE
Enumeration Date
26 July 2005
Last Update Date
18 March 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6162488864
Graduation Year
1996 (30 years ago)
PAC ID
8527019892
Group Practice PAC ID
9436304516
Professional Enrollment ID
I20050203000408
Address ID
MI495035729GR555XXNEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

532 DERMATOLOGY in MI

Provider Addresses for DIPA SUMAN PATEL (MD)

  • 555 MIDTOWNE ST NE

    SUITE 301

    GRAND RAPIDS, MI 495035729

    Phone: (616) 248-8864

    Fax: (616) 248-8874

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 63 Open Payments records for all available years, with a total value of $1,383.

Total Amount is formed as General ($1,383) + Research ($0) + Ownership ($0) = $1,383.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($213).

Total Amount

$1,383

General + Research + Ownership

Payments

63

Total payment records

General Amount

$1,383

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050203000408IDermatologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,129161$0
17000Destruction of precancer skin growth, 1 growth253185$0
99214Established patient office or other outpatient visit, 30-39 minutes222173$0
11102Biopsy of related skin growth, first growth153121$0
99213Established patient office or other outpatient visit, 20-29 minutes152130$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Provider's Procedures

DIPA SUMAN PATEL (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMI11101Biopsy of each additional growth of skin and/or tissue12675

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436304516View full group profile
NameSpecialtyState
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

How is DIPA SUMAN PATEL (MD) identified in CMS data?
CMS-hosted NPPES data lists DIPA SUMAN PATEL (MD) with NPI 1205836962.
Does the file indicate DIPA SUMAN PATEL (MD) is practicing under active NPI?
Directory data currently reports DIPA SUMAN PATEL (MD) as active.
What is DIPA SUMAN PATEL (MD)'s specialty?
The listing groups DIPA SUMAN PATEL (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DIPA SUMAN PATEL (MD)?
DIPA SUMAN PATEL (MD)'s geographic hint is Grand Rapids, Michigan in our summary view.
Is the information about DIPA SUMAN PATEL (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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