Individual provider Active NPI

Deepa Patel, FNP-C

  • Family Nurse Practitioner
  • Middletown, OH
National Provider Identifier
1285447995
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0038270 Issued in OH
Practice address
7015 Welney Run
Middletown, OH 45044-6983
Phone
(770) 365-2233
NPI assigned
Jan 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0038270 OH Primary

Addresses

Primary practice location

7015 Welney Run
Middletown, OH 45044-6983

Mailing address

7015 Welney Run
Middletown, OH 45044-6983
Phone (770) 365-2233

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429001067 OH Practitioner - Nurse Practitioner 7618493073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical GroupGroup PAC ID 2860386349, 29 clinicians
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

2912 Springboro W
Moraine, OH 45439-1674

5390 Dixie Hwy
Fairfield, OH 45014-4124
Phone (513) 868-2345

70 Remick Blvd
Springboro, OH 45066-9168
Phone (937) 885-0701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0038270OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Group, Inc. CurrentSince May 9, 2025 Accepting new patients
Providence Medical Group Current Accepting new patients
Providence Medical Group Past Accepting new patients

Locations

2912 Springboro W
Ste 201
Moraine, OH 45439
Phone (937) 297-8996

70 Remick Blvd
Springboro, OH 45066
Phone (937) 885-0701

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/237/brand/1/csg/41/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1285447995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 WELNEY RUN",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446983",
            "telephone_number": "770-365-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 WELNEY RUN",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446983",
            "telephone_number": "770-365-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEEPA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0038270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.