Active NPI
Jagdish Hariprasad Patel, MD
- Family Medicine Physician
- Warren, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.042368
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0365019 | Medicaid | OH |
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
Enrollment records 1
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
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
- MH St Joseph Warren Hospital
- HMHP St Elizabeth Boardman Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.042368 | OH | MD | Family Medicine Physician |
| 42368 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Jagdish H Patel MD Inc | Family Medicine | Current | Accepting new patients |
| Mercy Health Physicians Youngstown, LLC | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Youngstown, OH
- NPI 1154636066
-
- Surgery Physician
- Youngstown, OH
- NPI 1649892225
-
- Family Medicine Physician
- Warren, OH
- NPI 1912997164
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1750920245
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1386316107
-
- Internal Medicine Physician
- Warren, OH
- NPI 1497920409
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
- General Acute Care Hospital
- Warren, OH
- NPI 1629009964
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1790868982
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.