NPPES file of Aug 9, 2026

Dilipkumar J. Patel, MD

Pulmonary Disease Physician · Hazleton, PA

Dilipkumar J. Patel, MD is a pulmonary disease physician with a practice address in Hazleton, Pennsylvania, and NPI 1609876010, issued on Jul 28, 2005. Check the license (Pennsylvania MD041906L, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1609876010
Name
Dilipkumar J. Patel
Credential
MD
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License number
MD041906L PA
Self-reported in NPPES; status is on the state search
Practice location
851 Mcnair St, Hazleton, PA 18201
Phone
(570) 454-7499
Enumerated
Jul 28, 2005
Record last updated
May 8, 2026
Fax
(570) 454-7499
Medicaid ID
001290809 PA
Medicare enrollment
Enrolled (PECOS I20050509000846); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 851 Mcnair St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Minaben Patel, MDInternal Medicine Physician1427124585

Verify Dilipkumar J. Patel in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD041906L
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

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40% fewer Medicare Part D claims than the average pulmonary disease physician in 2024

854 Medicare Part D claims for 132 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 59% of claims.

  1. Dilipkumar Patel854
  2. Specialty average1,425

Most prescribed

  1. Albuterol Sulfate Hfa202 claims
  2. Trelegy Ellipta126 claims
  3. Anoro Ellipta85 claims
  4. Montelukast Sodium81 claims
  5. Prednisone52 claims
  6. Ventolin Hfa35 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 44.4 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score21.7
  2. Costout of 100 · 30%93.3
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities0 of 40 points · 15%0.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $266.18

10 payments; by number, the most common kind was food and beverage; the largest payer was GlaxoSmithKline, LLC. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Dilipkumar Patel$266.18
  2. Specialty average$5,159.88

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Dilipkumar J. Patel among 779 pulmonary disease physician records in Pennsylvania

Dilipkumar J. Patel, MD is one of 779 pulmonary disease physician records with a practice address in Pennsylvania. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 89% newer
  • In a Medicare fileYes · 86% of these records are
  • In the CMS Doctors and Clinicians fileYes · 73% of these records are
  • Graduated1982 · median 2003 among the 568 with a school on file
  • Record last updated2026 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pulmonary Disease Physician providers in Pennsylvania

There are 779 pulmonary disease physician records in Pennsylvania.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. James Martino, MDHazleton, PA 182011144220567
  2. Ross Futerfas, M.D.Lehighton, PA 182351306891072
  3. Saif Abu-Baker, M.D.Allentown, PA 181031134865900
  4. Scott Blumhof, D.O.Allentown, PA 181031568724946
  5. Breanna Goldner, DOAllentown, PA 181031386135556
  6. Nicholas Hinds, M.D.Allentown, PA 181031346689551
  7. John HuribalAllentown, PA 181031033851142
  8. Deepa Jansen, MDAllentown, PA 181031821557067

Common questions

What is Dilipkumar J. Patel, MD's NPI number?

Dilipkumar J. Patel, MD's National Provider Identifier (NPI) is 1609876010, issued on Jul 28, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Dilipkumar J. Patel, MD located?

The NPPES record lists a practice address at 851 Mcnair St, Hazleton, PA, 18201. Phone: (570) 454-7499. Providers update this record themselves, so call before visiting.

How can I verify Dilipkumar J. Patel, MD's license?

NPPES lists Pennsylvania license number MD041906L, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Dilipkumar J. Patel, MD prescribe under Medicare Part D?

In 2024, Dilipkumar J. Patel, MD had 854 Medicare Part D claims for 132 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

What is Dilipkumar J. Patel, MD's MIPS final score?

The 2023 MIPS final score is 44.4 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.