Individual provider Active NPI

Ketan Kakalbhai Patel, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Milford, OH
National Provider Identifier
1699721050
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
35074670 Issued in OH
Practice address
5714 Signal Hill CT Ste C
Milford, OH 45150-1459
Phone
(513) 831-4811
Fax
(513) 795-0754
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X S9964 TX
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 35074670 OH Primary

Addresses

Primary practice location

5714 Signal Hill CT Ste C
Milford, OH 45150-1459

Mailing address

5714 C Signal Hill
Milford, OH 45150-2416
Phone (513) 831-4811

Other identifiers 2

IdentifierTypeStateIssuer
2194307MedicaidOH
000000223319OtherOHANTHEM PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040728000444 OH Practitioner - HospitalistPractitioner - Internal Medicine 1850361882 Reassigns benefits to 3 organizations
I20210630004227 TX Practitioner - Internal Medicine 1850361882 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians

Practice addresses (Care Compare)

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S9964TXMDInternal Medicine Physician
35074670OHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Feb 10, 2020 Accepting new patients
Internal Medicine & Geriatric Care Internal Medicine CurrentSince Jun 1, 2002 Accepting new patients
The Christ Hospital Medical Associates, LLC Internal Medicine PastSince Jun 1, 2019 Accepting new patients
Christus Health Ark-la-Tex Past Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

2055 Hospital Dr
Ste 300
Batavia, OH 45103
Phone (513) 732-0663

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

201 Old Bank Rd
Ste 100
Milford, OH 45150
Phone (513) 683-1200

5714 Signal Hill Ct
Ste C
Milford, OH 45150
Phone (513) 248-0393

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1699721050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5714 C SIGNAL HILL",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502416",
            "telephone_number": "513-831-4811",
            "fax_number": "513-795-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5714 SIGNAL HILL CT STE C",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501459",
            "telephone_number": "513-831-4811",
            "fax_number": "513-795-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KETAN",
        "middle_name": "KAKALBHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S9964",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35074670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2194307",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000223319",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.