Individual provider Active NPI

Amish R Patel, D.O. MPH

  • Interventional Pain Medicine Physician
  • Marysville, OH
National Provider Identifier
1265464622
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
34008047 Issued in OH
Practice address
660 London Ave Ste B
Marysville, OH 43040-1515
Phone
(937) 578-4580
Fax
(937) 578-4585
NPI assigned
Jul 7, 2006
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 34008047 OH
Interventional Pain Medicine Physician 208VP0014X 34008047 OH Primary

Addresses

Primary practice location

660 London Ave Ste B
Marysville, OH 43040-1515

Mailing address

660 London Ave Ste B
Marysville, OH 43040-1515
Phone (937) 578-4580

Other identifiers 1

IdentifierTypeStateIssuer
2666404MedicaidOH

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
I20060720000426 OH Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 3476566266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Ohio University, College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics SPT IncGroup PAC ID 7113834102, shared by 20 NPIs, 101 clinicians

Practice addresses (Care Compare)

1958 E US Hwy 36
Urbana, OH 43078-9799
Phone (937) 578-2417

388 Damascus Rd
Marysville, OH 43040-5535
Phone (937) 578-2626

4275 County Line Rd
Chalfont, PA 18914-2212
Phone (267) 952-8120

500 London Ave
Marysville, OH 43040-5512
Phone (937) 578-2275

660 London Ave
Marysville, OH 43040-1515
Phone (937) 642-1550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.33 of 100Reported as group
Quality
68.93
Promoting interoperability
100
Improvement activities
40
Cost
75.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34008047OHMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Physician Corporation CurrentSince Mar 1, 2016 Accepting new patients
Union County Physician Corporation CurrentSince Mar 1, 2016 Accepting new patients
Midwest Pain Treatment Center, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Interventional Pain Medicine Past Accepting new patients
Memorial Hospital of Union County Past Accepting new patients
University of Toledo Physicians LLC Past Accepting new patients

Locations

388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

660 London Ave
Ste B
Marysville, OH 43040
Phone (937) 578-4580

1958 E US Highway 36
Ste D
Urbana, OH 43078
Phone (937) 578-2626

Interoperability endpoints

  • Direct secure messaging: apatel889276@direct.osumc.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1265464622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 LONDON AVE STE B",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401515",
            "telephone_number": "937-578-4580",
            "fax_number": "440-234-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 LONDON AVE STE B",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401515",
            "telephone_number": "937-578-4580",
            "fax_number": "937-578-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMISH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O. MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "34008047",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "34008047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2666404",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.