Individual provider Active NPI

Mitra Patel

  • Internal Medicine Physician
  • Toledo, OH
National Provider Identifier
1538622501
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.150976 Issued in OH
Practice address
2100 W Central Ave FL 2
Toledo, OH 43606-3800
Phone
(567) 420-1600
Fax
(567) 420-1630
NPI assigned
Apr 8, 2019
Last updated
Apr 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Student in an Organized Health Care Education/Training Program 390200000X AZ
Internal Medicine Physician 207R00000X 35.150976 OH Primary

Addresses

Primary practice location

2100 W Central Ave FL 2
Toledo, OH 43606-3800

Mailing address

10200 N 92 ND St
Scottsdale, AZ 85258

Other practice location 1

10200 N 92nd St Ste 150
Scottsdale, AZ 85258-4535
Phone (480) 882-7450

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
I20250224003036 OH Practitioner - Internal Medicine 9537689336 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.150976OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NW Ohio Hospital Medicine Physicians LLC CurrentSince Feb 1, 2025 Accepting new patients
Honorhealth PastSince Apr 20, 2025 Accepting new patients

Locations

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1538622501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 N 92 ND ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W CENTRAL AVE FL 2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063800",
            "telephone_number": "567-420-1600",
            "fax_number": "567-420-1630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10200 N 92nd St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584535",
            "country_code": "US",
            "telephone_number": "480-882-7450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITRA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.150976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.