NPIMap

Organization Active NPI

Valley Medical LTC Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Centerville, OH
National Provider Identifier
1306632708
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
VALLEY MEDICAL LTC INC
Practice address
6611 Clyo Rd Ste E
Centerville, OH 45459-2785
Phone
(937) 208-8282
Fax
(937) 208-8275
NPI assigned
Apr 15, 2025
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Dr. Meenakshi Patel, MDNPI 1568458362
Title
President
Phone
(937) 208-8282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU Primary

Addresses

Primary practice location

6611 Clyo Rd Ste E
Centerville, OH 45459-2785

Mailing address

6611 Clyo Rd Ste E
Centerville, OH 45459-2785
Phone (937) 208-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250729004740 OH Part B Supplier - Clinic/Group Practice 8820505258 Receives reassigned benefits from 7 practitioners
Practice locations: Centerville, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1306632708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 CLYO RD STE E",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592785",
            "telephone_number": "937-208-8282",
            "fax_number": "937-208-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 CLYO RD STE E",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592785",
            "telephone_number": "937-208-8282",
            "fax_number": "937-208-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL LTC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MEENAKSHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-208-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.