Individual provider Active NPI

Smitha Patel, M.D.

  • Psychiatry Physician
  • Marysville, OH
National Provider Identifier
1043355712
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35-082758 Issued in OH
Practice address
773 S Walnut St
Marysville, OH 43040-1643
Phone
(937) 578-4301
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35-082758 OH Primary

Addresses

Primary practice location

773 S Walnut St
Marysville, OH 43040-1643

Mailing address

500 London Ave
Marysville, OH 43040-5512

Other identifiers 1

IdentifierTypeStateIssuer
2427145MedicaidOH

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
I20031120000772 OH Practitioner - Psychiatry 0749184828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Northeastern Ohio University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Union County Physician CorporationGroup PAC ID 1557419173, 105 clinicians

Practice addresses (Care Compare)

388 Damascus Rd
Marysville, OH 43040-5535
Phone (937) 578-2626

773 S Walnut St
Suite B
Marysville, OH 43040-1643
Phone (937) 578-4301

Hospital & facility affiliations

  • Memorial Hospital Hospital, Marysville, OH, CCN 360092

Merit-based Incentive Payment System (MIPS)

Final score
83.33 of 100Reported as group
Quality
68.93
Promoting interoperability
100
Improvement activities
40
Cost
75.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-082758OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Physician Corporation CurrentSince May 1, 2017 Accepting new patients
Union County Physician Corporation CurrentSince May 1, 2017 Accepting new patients
Memorial Hospital of Union County CurrentSince Nov 1, 2013 Accepting new patients
Memorial Hospital of Union County CurrentSince Nov 1, 2013 Accepting new patients

Locations

388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626

120 Colemans Crossing Blvd
Ste C
Marysville, OH 43040
Phone (937) 578-4200

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

773 S Walnut St
Ste B
Marysville, OH 43040
Phone (937) 578-4301

Interoperability endpoints

  • Direct secure messaging: ssadashivappa889297@direct.osumc.edu

Organizations & group practices 4

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 1

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1043355712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LONDON AVE",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430405512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 S WALNUT ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401643",
            "telephone_number": "937-578-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SMITHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-082758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2427145",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.