Individual provider Active NPI

Jagdish Hariprasad Patel, MD

  • Family Medicine Physician
  • Warren, OH
National Provider Identifier
1235129404
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.042368 Issued in OH
Practice address
1296 Tod PL NW
Warren, OH 44485-2474
Phone
(330) 841-1001
Fax
(330) 841-4644
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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 42368 OH
Family Medicine Physician 207Q00000X 35.042368 OH Primary

Addresses

Primary practice location

1296 Tod PL NW
Warren, OH 44485-2474

Mailing address

1455 Parkman Rd NW
Warren, OH 44485-2156
Phone (330) 394-3816

Other practice location 1

1455 Parkman Rd NW
Warren, OH 44485-2156
Phone (330) 394-3816

Other identifiers 1

IdentifierTypeStateIssuer
0365019MedicaidOH

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
I20050118000068 OH Practitioner - Family Practice 1254380256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown, LLCGroup PAC ID 9234318270, 116 clinicians

Practice addresses (Care Compare)

1044 Belmont Ave
Youngstown, OH 44504-1006

1296 Tod PL NW
Warren, OH 44485-2474

1932 Niles Cortland Rd NE
Warren, OH 44484-1055

1934 Niles Cortland Rd NE
Suite B
Warren, OH 44484-1055
Phone (330) 841-4032

860 Elm Rd NE
Warren, OH 44483-5109
Phone (330) 841-1001

Hospital & facility affiliations

  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.042368OHMDFamily Medicine Physician
42368OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown LLC CurrentSince Dec 16, 2012 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Jagdish H Patel MD Inc Family Medicine CurrentSince Dec 31, 1975 Accepting new patients
Mercy Health Physicians Youngstown, LLC Family Medicine CurrentSince Dec 16, 2012 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1455 Parkman Rd NW
Warren, OH 44485
Phone (216) 394-3816

1296 Tod Pl NW
Warren, OH 44485
Phone (330) 306-5010

1950 Niles Cortland Rd NE
Ste 1
Warren, OH 44484
Phone (330) 306-0395

860 Elm Rd NE
Warren, OH 44483
Phone (330) 399-4243

250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • Direct secure messaging: jpatel34552@direct.bsmhealth.org

Organizations & group practices 6

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 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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1235129404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 PARKMAN RD NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852156",
            "telephone_number": "330-394-3816",
            "fax_number": "330-399-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 TOD PL NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852474",
            "telephone_number": "330-841-1001",
            "fax_number": "330-841-4644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 Parkman Rd NW",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444852156",
            "country_code": "US",
            "telephone_number": "330-394-3816",
            "fax_number": "330-399-7295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAGDISH",
        "middle_name": "HARIPRASAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "42368",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.042368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0365019",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.