Individual provider Active NPI

Bhavmik Patel, PA-C

  • Physician Assistant
  • Lorain, OH
National Provider Identifier
1093366346
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006349RX Issued in OH
Practice address
3600 Kolbe Rd Ste 106
Lorain, OH 44053-1652
Phone
(440) 960-3954
Fax
(440) 960-3956
NPI assigned
Sep 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.006349RX OH Primary

Addresses

Primary practice location

3600 Kolbe Rd Ste 106
Lorain, OH 44053-1652

Mailing address

3600 Kolbe Rd Ste 120
Lorain, OH 44053-1652
Phone (440) 960-3954

Other practice location 1

1303 W Sandusky St Apt A
Findlay, OH 45840-2355
Phone (317) 413-7781

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210107001555 OH Practitioner - Physician Assistant 9436562634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lorain LLCGroup PAC ID 1355474172, 41 clinicians

Practice addresses (Care Compare)

47185 Cooper Foster Park Rd
Amherst, OH 44001-3307
Phone (440) 960-3954

578 N Leavitt Rd
Amherst, OH 44001-1131
Phone (440) 988-5226

Hospital & facility affiliations

  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.006349RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health-Allen Hospital LLC CurrentSince Jan 18, 2021 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health-Allen Hospital LLC CurrentSince Jan 18, 2021 Accepting new patients
Mercy Health Physicians, Lorain, LLC CurrentSince Jan 18, 2021 Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

47185 Cooper Foster Park Rd
Amherst, OH 44001
Phone (440) 960-3954

3600 Kolbe Rd
Ste 120
Lorain, OH 44053
Phone (440) 282-7408

3600 Kolbe Rd
Ste 106
Lorain, OH 44053
Phone (440) 222-4970

840 Patriot Dr
Wellington, OH 44090
Phone (440) 647-2225

Interoperability endpoints

  • Direct secure messaging: bpatel613624@direct.bsmhealth.org

Organizations & group practices 7

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 2

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": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1093366346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD STE 120",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531652",
            "telephone_number": "440-960-3954",
            "fax_number": "440-960-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD STE 106",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531652",
            "telephone_number": "440-960-3954",
            "fax_number": "440-960-3956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 W Sandusky St Apt A",
            "address_purpose": "LOCATION",
            "city": "Findlay",
            "state": "OH",
            "postal_code": "458402355",
            "country_code": "US",
            "telephone_number": "317-413-7781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHAVMIK",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-26",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006349RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.