NPIMap

Individual provider Active NPI

Risha Patidar, M.D.

  • Family Medicine Physician
  • Boardman, OH
National Provider Identifier
1215503107
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57.251713 Issued in OH
Practice address
Boardman Primary Care
8423 Market Street Suite 101
Boardman, OH 44512
Phone
(330) 729-8700
Fax
(330) 729-8701
NPI assigned
Jun 1, 2021
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 92444 SC
Family Medicine Physician 207Q00000X 57.251713 OH Primary

Addresses

Primary practice location

Boardman Primary Care
8423 Market Street Suite 101
Boardman, OH 44512

Mailing address

Boardman Primary Care
8423 Market Street Suite 101
Boardman, OH 44512
Phone (330) 729-8700

Other practice location 1

700 Brushy Creek Rd
Easley, SC 29642-2200
Phone (864) 306-9661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240724002251 SC Practitioner - Family Practice 9335542877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Francis Physician Services IncGroup PAC ID 6608826821, 106 clinicians

Practice addresses (Care Compare)

1200 Brookfield Blvd
Suite 400B
Greenville, SC 29607-6583
Phone (864) 605-3721

1648 Gentry Memorial Hwy
Easley, SC 29640-8877
Phone (864) 855-1331

700 Brushy Creek Rd
Easley, SC 29642-2200
Phone (864) 306-9661

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Physician Services Inc Family Medicine CurrentSince Jul 28, 2024 Accepting new patients
St Francis Physician Services Inc Family Medicine CurrentSince Jul 28, 2024 Accepting new patients
Mercy Health Physicians Youngstown, LLC Family Medicine PastSince Jun 6, 2021 Accepting new patients
St Francis Physician Services Inc Family Medicine Past Accepting new patients
Mercy Health Physicians Youngstown LLC PastSince Jun 6, 2021 Accepting new patients

Locations

700 Brushy Creek Rd
Easley, SC 29642
Phone (513) 752-8000

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

Interoperability endpoints

  • Direct secure messaging: rpatidar861966@direct.bsmhealth.org

Organizations & group practices 5

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 47

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

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1215503107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOARDMAN PRIMARY CARE",
            "address_2": "8423 MARKET STREET SUITE 101",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "44512",
            "telephone_number": "330-729-8700",
            "fax_number": "330-729-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOARDMAN PRIMARY CARE",
            "address_2": "8423 MARKET STREET SUITE 101",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "44512",
            "telephone_number": "330-729-8700",
            "fax_number": "330-729-8701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Brushy Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296422200",
            "country_code": "US",
            "telephone_number": "864-306-9661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATIDAR",
        "first_name": "RISHA",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "92444",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "57.251713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.