Individual provider Active NPI

Pradip Mahendrabhai Vyas, M.D.

  • Internal Medicine Physician
  • Troy, OH
National Provider Identifier
1023129103
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35055247 Issued in OH
Practice address
65 S Stanfield Rd
Troy, OH 45373
Phone
(937) 335-0665
Fax
(937) 339-3652
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35055247 OH Primary

Addresses

Primary practice location

65 S Stanfield Rd
Troy, OH 45373

Mailing address

65 S Stanfield Rd
Troy, OH 45373
Phone (937) 335-0665

Other identifiers 1

IdentifierTypeStateIssuer
0692746MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100824000034 OH Practitioner - Internal Medicine 7911021217 Reassigns benefits to 2 organizations
Practice locations: Covington, OH; Piqua, OH; Tipp City, OH; Troy, OH

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upper Valley Professional CorporationGroup PAC ID 5597658138, 83 clinicians

Practice addresses (Care Compare)

31 S Stanfield Rd
Suite 201
Troy, OH 45373-2334
Phone (937) 440-7770

Hospital & facility affiliations

  • Fidelity Health Care Home health agency, Moraine, OH, CCN 367160
  • Kettering Homecare Home health agency, Kettering, OH, CCN 367778
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Wayne Hospital Hospital, Greenville, OH, CCN 361335

Merit-based Incentive Payment System (MIPS)

Final score
88.89 of 100Reported as group
Quality
83.16
Promoting interoperability
100
Improvement activities
40
Cost
79.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35055247OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospitals and Wellness Centers CurrentSince May 27, 2023 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince May 27, 2023 Accepting new patients
Upper Valley Professional Corporation Internal Medicine CurrentSince May 24, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Midwest Medical Services, Inc. Internal Medicine Past Accepting new patients

Locations

121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

31 S Stanfield Rd
Ste 201
Troy, OH 45373
Phone (937) 440-7788

65 S Stanfield Rd
Troy, OH 45373
Phone (513) 339-5011

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023129103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 S STANFIELD RD",
            "city": "TROY",
            "state": "OH",
            "postal_code": "45373",
            "telephone_number": "937-335-0665",
            "fax_number": "937-339-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 S STANFIELD RD",
            "city": "TROY",
            "state": "OH",
            "postal_code": "45373",
            "telephone_number": "937-335-0665",
            "fax_number": "937-339-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYAS",
        "first_name": "PRADIP",
        "middle_name": "MAHENDRABHAI",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35055247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0692746",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.