Pravesh B Patel, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35083993P Issued in OH

Practice address

1520 Germantown St
Dayton, OH 45417-3318

Phone

(937) 222-8111

Fax

(937) 222-3019

NPI assigned

Dec 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN, OH, MD3 enrollments

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 3

Specialty

Psychiatry

Education

Other, 1987

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Farrellco, Inc.Group PAC ID 4284862707, 5 clinicians

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Farrellco Inc

  • Clinical Psychologist
  • Cincinnati, OH
  • NPI 1578993572
  Medicare reassignment Care Compare group NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  MD, OH, Psychiatry

  Medicare reassignment Care Compare group NPD
• Access Ohio, LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1689763740
  Medicare reassignment NPD
• Clearing Path'S Therapeutic Services, LTD

  • Mental Health Counselor
  • Kettering, OH
  • NPI 1043511975
  Medicare reassignment NPD
• Mahajan Therapeutics, LLC

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1669531810
  Medicare reassignment NPD
• Access Ohio, LLC

  • Substance Abuse Rehabilitation Facility
  • Dayton, OH
  • NPI 1194179150
  NPD
• Clearing Path'S Therapeutic Services, LTD

  • Community/Behavioral Health Agency
  • Kettering, OH
  • NPI 1184270134
  NPD
• Advanced Therapeutic Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
  • NPI 1598746265
  NPD (past)
• Upper Valley Medical Center

  • General Acute Care Hospital
  • Troy, OH
  • NPI 1184638942
  NPD (past)
• Indiana University Psychiatric Associates, Inc.

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1023063724
  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1164409090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 GERMANTOWN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173318",
            "telephone_number": "937-222-8111",
            "fax_number": "937-222-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 GERMANTOWN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173318",
            "telephone_number": "937-222-8111",
            "fax_number": "937-222-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRAVESH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35083993P",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01049357A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200490910",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2272231",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manish N Patel, DO
• Naynesh R Patel, MD
• Nivedita H Patel, RPH
• Parth Patel, MD
• Parthiv B Patel, DDS
• Priyanka K Patel, PHARMACIST
• Pujan Rajnikant Patel
• Rajesh C Patel, M.D.
• Ranapreet Kaur Patel, M.D.
• Ria Patel, DDS

• Psychiatry Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.

Verify at the official NPI Registry.