Organization Active NPI

Premier MD

  • Internal Medicine Physician
  • Grove City, OH
National Provider Identifier
1467160622
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREMIER MD
Practice address
5919 Blue Star Dr
Grove City, OH 43123-7595
Phone
(614) 404-1626
Fax
(888) 388-7188
NPI assigned
Nov 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Dr. Bhavesh Patel, MDNPI 1669632469
Title
Owner
Phone
(614) 404-1626

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5919 Blue Star Dr
Grove City, OH 43123-7595

Mailing address

5976 Trafalgar CT
Dublin, OH 43016-8310
Phone (614) 404-1626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221229001863 OH Part B Supplier - Clinic/Group Practice 0244600658 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH; Grove City, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1467160622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5976 TRAFALGAR CT",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168310",
            "telephone_number": "614-404-1626",
            "fax_number": "888-388-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5919 BLUE STAR DR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431237595",
            "telephone_number": "614-404-1626",
            "fax_number": "888-388-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHAVESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-404-1626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.