Individual provider Active NPI

Rajesh C Patel, M.D.

  • Specialist
  • Dayton, OH
National Provider Identifier
1225022965
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-05-7793P Issued in OH
Practice address
9001 N Main St
Suite a
Dayton, OH 45415-1175
Phone
(937) 832-0990
Fax
(937) 832-7323
NPI assigned
Sep 8, 2005
Last updated
Jun 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35-05-7793P OH Primary

Addresses

Primary practice location

9001 N Main St
Suite a
Dayton, OH 45415-1175

Mailing address

9001 N Main St
Suite a
Dayton, OH 45415-1175
Phone (937) 832-0990

Other identifiers 2

IdentifierTypeStateIssuer
1225022965OtherOHNPI NUMBER
0753626MedicaidOH

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
I20100329000988 OH Practitioner - Pulmonary Disease 8820078561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rajesh C Patel MD IncGroup PAC ID 2961538467, 25 clinicians

Practice addresses (Care Compare)

9001 N Main St
Suite a
Dayton, OH 45415-1154

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.31 of 100Reported as group
Quality
79.48
Promoting interoperability
71
Improvement activities
40
Cost
79.87

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc CurrentSince Oct 21, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3095 Dayton Xenia Rd
Ste 900
Dayton, OH 45434
Phone (937) 458-4010

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

Interoperability endpoints

  • Direct secure messaging: rajesh.patel@glacecentral.com

Organizations & group practices 3

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 3

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1225022965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 N MAIN ST",
            "address_2": "SUITE A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151175",
            "telephone_number": "937-832-0990",
            "fax_number": "937-832-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 N MAIN ST",
            "address_2": "SUITE A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151175",
            "telephone_number": "937-832-0990",
            "fax_number": "937-832-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAJESH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-05-7793P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1225022965",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0753626",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.