NPIMap

Individual provider Active NPI

Vipul K Patel, MD

  • General Practice Physician
  • Springfield, OH
National Provider Identifier
1548233851
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35081658P Issued in OH
Practice address
30 Warder St
Suite 100
Springfield, OH 45504-2500
Phone
(937) 328-2314
Fax
(937) 328-2303
NPI assigned
Feb 8, 2006
Last updated
Mar 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35081658P OH Primary

Addresses

Primary practice location

30 Warder St
Suite 100
Springfield, OH 45504-2500

Mailing address

30 Warder St
Suite 100
Springfield, OH 45504-2500
Phone (937) 328-2314

Other identifiers 1

IdentifierTypeStateIssuer
2418164MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110131000324 OH Practitioner - Internal Medicine 3072792555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Healthcare Center IncGroup PAC ID 2062446495, 3 clinicians

Practice addresses (Care Compare)

30 Warder St
Suite 100
Springfield, OH 45504-2577
Phone (937) 328-2310

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35081658POHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Health Care Center, Inc. Current Accepting new patients
Springfield Healthcare Center Inc CurrentSince Sep 1, 2003 Accepting new patients
Villa Springfield Rehabilitation and Healthcare Center LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

280 Looney Rd
Ste 201
Piqua, OH 45356
Phone (937) 773-0012

30 Warder St
Ste 100
Springfield, OH 45504
Phone (937) 328-2310

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20834/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vipul.patel.1@20834.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Villa Springfield Rehabilitation and Healthcare CenterSpringfield, OH, CCN 365829 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 26, 2019
Sep 26, 2019
Cherish Hospice LLCSpringfield, OH, CCN 361720 Hospice W-2 Managing Employee Jun 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1548233851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WARDER ST",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042500",
            "telephone_number": "937-328-2314",
            "fax_number": "937-328-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WARDER ST",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042500",
            "telephone_number": "937-328-2314",
            "fax_number": "937-328-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIPUL",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35081658P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2418164",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.