DR. DHARA PATEL (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1770103004

DR. DHARA PATEL (MD) is a healthcare provider. based in Springfield, New Jersey. specializing in ENDOCRINOLOGY. They hold the professional credentials MD. They hold a License No. 25MA12734100 (NJ). The NPI Number for DR. DHARA PATEL (MD) is 1770103004

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. DHARA PATEL (MD)
NPI
1770103004
Phone
Not provided
Address
55 MORRIS AVE
Enumeration Date
16 April 2020
Last Update Date
5 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9085052327
Graduation Year
2019 (7 years ago)
PAC ID
2860881455
Group Practice PAC ID
7113346057
Professional Enrollment ID
I20250801001515
Address ID
NJ088203961ED2XXXXHWYX310
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Digital endpointsOther names

425 ENDOCRINOLOGY in NJ

Provider Addresses for DR. DHARA PATEL (MD)

  • 55 MORRIS AVE

    SPRINGFIELD, NJ 070811426

    Phone:

    Type: Mailing

  • 1 BAY AVE

    MONTCLAIR, NJ 070424837

    Phone: (973) 429-6196

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-08-01

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
I20250801001515IEndocrinologyNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07081)

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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: 7113346057View full group profile
NameSpecialtyState
Physician AssistantNJ
Physician AssistantNJ

Reviews

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Frequently asked questions

How do payers reference DR. DHARA PATEL (MD)?
For DR. DHARA PATEL (MD), use NPI 1770103004 as the unique 10-digit identifier.
Is there an active status for DR. DHARA PATEL (MD)?
For scheduling context, DR. DHARA PATEL (MD) is shown as active in the registry.
What clinical focus is listed for DR. DHARA PATEL (MD)?
At a glance, DR. DHARA PATEL (MD) is tied to Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Where in New Jersey is DR. DHARA PATEL (MD) registered?
Use Springfield, New Jersey as the headline location for DR. DHARA PATEL (MD) here.
Does DR. DHARA PATEL (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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