Individual provider Active NPI

Bhadreshkumar H Patel, NP STUDENT

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1477033389
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
025184 Issued in OH
Practice address
2260 Morse Rd
Columbus, OH 43229-5858
Phone
(614) 702-7899
Fax
(614) 706-1570
NPI assigned
Aug 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 388067 OH
Family Nurse Practitioner 363LF0000X 025184 OH Primary

Addresses

Primary practice location

2260 Morse Rd
Columbus, OH 43229-5858

Mailing address

2260 Morse Rd
Columbus, OH 43229-5858
Phone (614) 702-7899

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
I20191125002629 OH Practitioner - Nurse Practitioner 7517390933 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dedicated Columbus Ohio LLCGroup PAC ID 9032445929, 9 clinicians

Practice addresses (Care Compare)

2260 Morse Rd
Columbus, OH 43229-5858
Phone (305) 831-4453

2819 Westerville Rd
Suite B
Columbus, OH 43224-4473
Phone (614) 525-0222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
388067OHMDMedical-Surgical Registered Nurse
025184OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, PC CurrentSince Jul 31, 2023 Accepting new patients
Dedicated Columbus Ohio, LLC CurrentSince Sep 1, 2023 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Jul 31, 2023 Accepting new patients
Access Medical Group LLC Past Accepting new patients
Meritra Physicians LLC Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2260 Morse Rd
Columbus, OH 43229
Phone (305) 831-4453

2880 Stelzer Rd
Columbus, OH 43219
Phone (614) 472-2880

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1477033389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 MORSE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295858",
            "telephone_number": "614-702-7899",
            "fax_number": "614-706-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 MORSE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295858",
            "telephone_number": "614-702-7899",
            "fax_number": "614-706-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHADRESHKUMAR",
        "middle_name": "H",
        "credential": "NP STUDENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OH",
            "license": "388067",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "025184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.