Individual provider Active NPI

Priyanshi Patel, MD

  • Pediatrics Physician
  • Newark, OH
National Provider Identifier
1386200509
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
57.249960 Issued in OH
Practice address
399 E Main St
Newark, OH 43055-6516
Phone
(220) 564-1840
Fax
(220) 564-1841
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 57.249960 OH Primary

Addresses

Primary practice location

399 E Main St
Newark, OH 43055-6516

Mailing address

399 E Main St
Newark, OH 43055-6516
Phone (220) 564-1840

Other practice location 1

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-4411

Other practice location 2

10563 Bermuda Isle Dr
Tampa, FL 33647-2719
Phone (813) 997-9074

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ppatel34452@lickingmemorial.medicity.net

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
I20251205003680 OH Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 3072936129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Pediatric Medicine
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 Childrens Dr
Columbus, OH 43205-2639

700 Childrens Dr
Columbus, OH 43205-2664

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Children's Hospital Pediatrics CurrentSince Jan 5, 2026 Accepting new patients
Nationwide Children's Hospital CurrentSince Jan 5, 2026 Accepting new patients
Pediatric Academic Association, Inc. Pediatrics CurrentSince Jan 5, 2026 Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Nationwide Children's Hospital Past Accepting new patients

Locations

Dept 781629
Detroit, MI 48278

Dept L289
Columbus, OH 43260

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

399 E Main St
Newark, OH 43055
Phone (220) 564-1846

Organizations & group practices 5

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1386200509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430556516",
            "telephone_number": "220-564-1840",
            "fax_number": "220-564-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430556516",
            "telephone_number": "220-564-1840",
            "fax_number": "220-564-1841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10563 Bermuda Isle Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336472719",
            "country_code": "US",
            "telephone_number": "813-997-9074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIYANSHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "57.249960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppatel34452@lickingmemorial.medicity.net",
            "affiliation": "N",
            "address_1": "399 E Main St",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430556516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.