Dilipkumar Patel, MD
NPI 1609876010 · Pulmonary Disease Physician · Hazleton, PA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dilipkumar Patel, MD is a Pulmonary Disease Physician provider in Hazleton, PA (NPI 1609876010).
Provider details
- NPI number
- 1609876010
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD041906L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,385 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 589 | $118 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 279 | $73 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 108 | $99 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 89 | $105 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 57 | $140 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 202 | 50 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 126 | 23 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 85 | 15 |
| Montelukast Sodium | 81 | 15 |
| Prednisone | 52 | 26 |
| Albuterol Sulfatebrand: Ventolin Hfa | 35 | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$266 across 10 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-28
- Last updated
- 2026-05-08
- Certified
- 2026-05-08
Frequently asked questions
- What is Dilipkumar Patel's NPI number?
- Dilipkumar Patel's National Provider Identifier (NPI) is 1609876010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dilipkumar Patel's specialty?
- Dilipkumar Patel is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Dilipkumar Patel located?
- Dilipkumar Patel's practice location on file with NPPES is 851 Mcnair St, Hazleton, PA 18201-2275.
- What is Dilipkumar Patel's phone number?
- The practice phone number listed in the NPPES registry for Dilipkumar Patel is (570) 454-7499.
- Does Dilipkumar Patel accept Medicare?
- Dilipkumar Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dilipkumar Patel's NPI active?
- Yes — Dilipkumar Patel's NPI (1609876010) is active in the NPPES registry as of the last update on 2026-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.