NPIMap

Individual provider Active NPI

Naynesh R Patel, MD

  • Family Medicine Physician
  • Dayton, OH
National Provider Identifier
1629042155
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35057996P Issued in OH
Practice address
68 Darst Rd
Dayton, OH 45440-3442
Phone
(937) 531-0132
Fax
(937) 531-0134
NPI assigned
Feb 13, 2006
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35057996P OH Primary

Addresses

Primary practice location

68 Darst Rd
Dayton, OH 45440-3442

Mailing address

4172 Indian Ripple Rd Ste a
Beavercreek, OH 45440-3286
Phone (937) 431-3779

Other practice location 1

4172 Indian Ripple Rd
Suite A
Dayton, OH 45440-3285
Phone (937) 431-3779

Other identifiers 1

IdentifierTypeStateIssuer
2015438MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address npatel14415@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

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
I20090917000002 OH Practitioner - Family Practice 7416980529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

68 Darst Rd
Beavercreek, OH 45440-3442
Phone (937) 531-0132

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35057996POHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians, Inc. CurrentSince Mar 5, 2009 Accepting new patients
Alliance Physicians Inc Family Medicine CurrentSince Mar 5, 2009 Accepting new patients
Stonespring Transitional Care Center, LLC Past Accepting new patients
High-Day, LLC Past Accepting new patients
Inst for Integrated Health Family Medicine Past Accepting new patients
Mvhe Inc Past Accepting new patients

Locations

4172 Indian Ripple Rd
Ste A
Dayton, OH 45440
Phone (937) 431-3779

68 Darst Rd
Dayton, OH 45440
Phone (937) 458-6700

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1629042155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4172 INDIAN RIPPLE RD STE A",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403286",
            "telephone_number": "937-431-3779",
            "fax_number": "937-431-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 DARST RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403442",
            "telephone_number": "937-531-0132",
            "fax_number": "937-531-0134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4172 Indian Ripple Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454403285",
            "country_code": "US",
            "telephone_number": "937-431-3779",
            "fax_number": "937-431-3776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NAYNESH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35057996P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015438",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npatel14415@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "4172 Indian Ripple Rd",
            "address_2": "Suite A",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454403285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4172 Indian Ripple Rd",
            "address_2": "Suite A",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454403285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.