Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dipa Suman Patel, MD

Individual provider Dermatology Physician · NPI 1205836962

Dipa Suman Patel, MD is a Dermatology in Grand Rapids, Michigan. Graduated from Wayne State University School of Medicine in 1996, 30 years ago. Practices with Dermatology at Midtowne PC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
30
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

555 Midtowne St NE Ste 301
Grand Rapids, MI 49503-5729
Phone: (616) 248-8864
Fax: (616) 248-8874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4301067695 (MI)

Record details

NPI number1205836962
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Dermatology At Midtowne Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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