Individual provider Active NPI

Sanjiv P Patel, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Fairfield, OH
National Provider Identifier
1144293036
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
35.073242 Issued in OH
Practice address
2960 Mack Rd Ste 200
Fairfield, OH 45014-5300
Phone
(513) 774-2870
Fax
(513) 774-2633
NPI assigned
Feb 10, 2006
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35.073242 OH
Pulmonary Disease Physician 207RP1001X 35073242 OH
Sleep Medicine (Internal Medicine) Physician 207RS0012X 35.073242 OH Primary

Addresses

Primary practice location

2960 Mack Rd Ste 200
Fairfield, OH 45014-5300

Mailing address

2960 Mack Rd Ste 200
Fairfield, OH 45014-5300
Phone (513) 774-2870

Other practice location 1

4780 Socialville Foster Rd
Mason, OH 45040-8265
Phone (513) 459-7750

Other practice location 2

4780 Socialville Foster Rd
Mason, OH 45040-8265
Phone (513) 459-7750

Other practice location 3

3000 Mack Rd Fl 3
Fairfield, OH 45014
Phone (513) 774-2870

Other identifiers 4

IdentifierTypeStateIssuer
311138782028OtherCARESOURCE
000000329261OtherBCBS OHIO
2517495MedicaidOH
P00145359OtherRAILROAD MEDICARE

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
I20040713000728 OH Practitioner - Sleep MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5890773048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Critical Care (Intensivists)
Education
Northeastern Ohio University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5075 Pkwy Dr
Suite 101
Mason, OH 45040-9555
Phone (513) 686-5392

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35073242OHMDPulmonary Disease Physician
35.073242OHMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC Critical Care Medicine CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Pulmonary Disease CurrentSince Aug 3, 2014 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Aug 3, 2014 Accepting new patients
Critical Care & Pulmonary Consultants, PC Critical Care Medicine PastSince Jul 1, 2002 Accepting new patients
Rockcastle County Hospital, Inc. Past Accepting new patients
Clermont Internists Associates, Inc. PastSince Dec 24, 2012 Accepting new patients
Sleep Centers of Eastgate LLC Past Accepting new patients
Sleepcare Diagnostics, Inc. Past Accepting new patients
Philippe G Lopez MD PC Critical Care Medicine PastSince Jun 16, 2024 Accepting new patients

Locations

3088 Angel Dr
Bethel, OH 45106
Phone (513) 734-1287

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

2960 Mack Rd
Ste 200
Fairfield, OH 45014
Phone (513) 860-5200

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

5075 Parkway Dr
Ste 101
Mason, OH 45040
Phone (513) 584-6898

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1144293036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 MACK RD STE 200",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145300",
            "telephone_number": "513-774-2870",
            "fax_number": "513-774-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 MACK RD STE 200",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145300",
            "telephone_number": "513-774-2870",
            "fax_number": "513-774-2633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4780 Socialville Foster Rd",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450408265",
            "country_code": "US",
            "telephone_number": "513-459-7750",
            "fax_number": "513-459-8030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4780 Socialville Foster Rd",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450408265",
            "country_code": "US",
            "telephone_number": "513-459-7750",
            "fax_number": "513-459-8030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Mack Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "45014",
            "country_code": "US",
            "telephone_number": "513-774-2870",
            "fax_number": "513-774-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SANJIV",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35.073242",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35073242",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OH",
            "license": "35.073242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "311138782028",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OHIO",
            "identifier": "000000329261",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2517495",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00145359",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.