Individual provider Active NPI

Amita R. Patel, M.D.

  • Psychiatry Physician
  • Dayton, OH
National Provider Identifier
1649265489
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35058790 Issued in OH
Practice address
627 S Edwin C Moses Blvd
5K
Dayton, OH 45408-1461
Phone
(937) 424-1000
Fax
(937) 424-1002
NPI assigned
Sep 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35058790 OH Primary

Addresses

Primary practice location

627 S Edwin C Moses Blvd
5K
Dayton, OH 45408-1461

Mailing address

627 S Edwin C Moses Blvd
5K
Dayton, OH 45408-1461
Phone (937) 424-1000

Other practice location 1

4400 Easton Cmns Ste 125
Columbus, OH 43219-6223
Phone (574) 546-1900

Other identifiers 1

IdentifierTypeStateIssuer
0820580MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, DC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100428000967 OH Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 7810956653 Reassigns benefits to 2 organizations
I20250827002745 DC Practitioner - Psychiatry 7810956653 Reassigns benefits to 1 organization
I20260415000800 VA Practitioner - Psychiatry 7810956653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10692 Bright Willow LN
Vienna, VA 22181-2847

1435 Haven Hill Dr
Dayton, OH 45459-1502

PO Box
Philadelphia, PA 19182

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35058790OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amita R. Patel, M.D., Inc. CurrentSince Jul 1, 1996 Accepting new patients
Thrive Psychiatric Care PLLC CurrentSince Aug 14, 2025 Accepting new patients
Guidestar Eldercare Corp -Oh Psychiatry CurrentSince Jul 1, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

990 Bayley Dr
Cincinnati, OH 45233
Phone (513) 347-5500

21 E State St
Columbus, OH 43215
Phone (574) 546-1999

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900

627 S Edwin C Moses Blvd
Ste G
Dayton, OH 45417
Phone (937) 424-1000

Organizations & group practices 5

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1649265489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 S EDWIN C MOSES BLVD",
            "address_2": "5K",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454081461",
            "telephone_number": "937-424-1000",
            "fax_number": "937-424-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 S EDWIN C MOSES BLVD",
            "address_2": "5K",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454081461",
            "telephone_number": "937-424-1000",
            "fax_number": "937-424-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 Easton Cmns Ste 125",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432196223",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMITA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35058790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0820580",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.