NPIMap

Individual provider Active NPI

Kishor Patel I, MD

  • Internal Medicine Physician
  • Rocky River, OH
National Provider Identifier
1073613626
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35059487 Issued in OH
Practice address
21851 Center Ridge Rd
Suite 405
Rocky River, OH 44116-9998
Phone
(440) 333-5822
Fax
(440) 333-5824
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 59487 OH
Internal Medicine Physician 207R00000X 35059487 OH Primary

Addresses

Primary practice location

21851 Center Ridge Rd
Suite 405
Rocky River, OH 44116-9998

Mailing address

21851 Center Ridge Rd
Suite 405
Rocky River, OH 44116-9998
Phone (440) 333-5822

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415000455 OH Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0446245948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21851 Ctr Ridge Rd
Suite 405
Rocky River, OH 44116-3901
Phone (440) 333-5822

Hospital & facility affiliations

  • Luxe Home Health Care LLC Home health agency, Avon, OH, CCN 369338
  • Suncrest Hospice Cleveland LLC Hospice, Independence, OH, CCN 361726
  • O'Neill Healthcare - Hospice Hospice, Bay Village, OH, CCN 361666
  • Hospice of the Western Reserve, Inc Hospice, Cleveland, OH, CCN 361503
  • Nivalis Hospice Hospice, Westlake, OH, CCN 361705
  • Cleveland Clinic Hospice Hospice, Independence, OH, CCN 361554
  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364
  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • O'Neill Healthcare Bay Village Nursing home, Bay Village, OH, CCN 365264
  • Rae-Ann Westlake Nursing home, Westlake, OH, CCN 365115
  • Normandy Manor of Rocky River Nursing home, Rocky River, OH, CCN 365926
  • O'Neill Healthcare Lakewood Nursing home, Lakewood, OH, CCN 365267
  • Lutheran Home Nursing home, Westlake, OH, CCN 365020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35059487OHMDInternal Medicine Physician
59487OHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kishor Patel MD LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Bradley Road Nursing Home, Inc. Past Accepting new patients
Lakewood Senior Campus, LLC Past Accepting new patients
Rae-Ann Westlake, Inc. Past Accepting new patients
Fairview Hospital Past Accepting new patients
Rae-Ann Suburban, Inc. Past Accepting new patients
Normandy II Limited Partnership Past Accepting new patients
Embassy Oak Hills Management Past Accepting new patients
Garnett Health Campus, LLC. Past Accepting new patients
Lutheran Home Past Accepting new patients

Locations

21851 Center Ridge Rd
Ste 405
Rocky River, OH 44116
Phone (216) 221-2127

Interoperability endpoints

  • Direct secure messaging: kpatel37231@ehrdirect.uhhospitals.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Normandy Manor of Rocky RiverRocky River, OH, CCN 365926 Skilled nursing facility Adp of the SNF Oct 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1073613626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21851 CENTER RIDGE RD",
            "address_2": "SUITE 405",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441169998",
            "telephone_number": "440-333-5822",
            "fax_number": "440-333-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21851 CENTER RIDGE RD",
            "address_2": "SUITE 405",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441169998",
            "telephone_number": "440-333-5822",
            "fax_number": "440-333-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KISHOR",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "59487",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35059487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.