Active NPI
Samir B Patel, MD
- Dermatology Physician
- Mason, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35-081751
- Practice address
- 5298 Socialville Foster Rd
Mason, OH 45040-9302 - Phone
- (513) 770-4212
- Fax
- (513) 770-4213
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35-081751 | OH | Primary |
| Dermatopathology Physician | 207ND0900X | 35-081751 | OH |
Addresses
Primary practice location
5298 Socialville Foster Rd
Mason, OH 45040-9302
Mailing address
5298 Socialville Foster Rd
Mason, OH 45040-9302
Phone (513) 770-4212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00072025 | Other | OH | RAILROAD MEDICARE |
| 2442502 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Cincinnati College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
330 Thomas More Pkwy
Crestview Hills, KY 41017-3417
Phone (513) 770-4212
5298 Socialville Foster Rd
Mason, OH 45040-9302
Phone (513) 770-4212
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 277 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 142 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-081751 | OH | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dermatology Group, Inc | Dermatology | Current | Accepting new patients |
| Brett Coldiron MD | Dermatology | Past | Accepting new patients |
Locations
330 Thomas More Pkwy
Ste 201
Crestview Hills, KY 41017
Phone (853) 934-4621
330 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (513) 241-2360
9403 Kenwood Rd
Ste B100
Blue Ash, OH 45242
Phone (513) 891-8045
4450 Eastgate Blvd
Ste 232
Cincinnati, OH 45245
Phone (513) 752-2247
6507 Harrison Ave
Unit I
Cincinnati, OH 45247
4000 Smith Rd
Ste 210
Cincinnati, OH 45209
5184 Socialville Foster Rd
Mason, OH 45040
Phone (513) 770-0953
5298 Socialville Foster Rd
Mason, OH 45040
Phone (513) 770-0953
36 Remick Blvd
Springboro, OH 45066
Interoperability endpoints
- https://api.platform.athenahealth.com/5662/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Specialist
- Exeter, NH
- NPI 1508061839
-
- Dermatology Physician
- Cincinnati, OH
- NPI 1497842124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1073552261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5298 SOCIALVILLE FOSTER RD",
"city": "MASON",
"state": "OH",
"postal_code": "450409302",
"telephone_number": "513-770-4212",
"fax_number": "513-770-4213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5298 SOCIALVILLE FOSTER RD",
"city": "MASON",
"state": "OH",
"postal_code": "450409302",
"telephone_number": "513-770-4212",
"fax_number": "513-770-4213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SAMIR",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35-081751",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "OH",
"license": "35-081751",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00072025",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2442502",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.