Individual provider Active NPI

Kirtan Patel, MD

  • Psychiatry Physician
  • Massillon, OH
National Provider Identifier
1750709143
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD465125 Issued in PA
Practice address
3000 Erie St S
Massillon, OH 44646-7976
Phone
(724) 472-8354
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 83051 GA
Psychiatry Physician 2084P0800X 35.134534 OH
Psychiatry Physician 2084P0800X MD465125 PA Primary

Addresses

Primary practice location

3000 Erie St S
Massillon, OH 44646-7976

Mailing address

6 Landings Dr
Pittsburgh, PA 15238-1366
Phone (724) 472-8354

Other practice location 1

2655 Northwinds Pkwy
Alpharetta, GA 30009-2280
Phone (877) 732-7089

Other practice location 2

625 Cleveland Ave NW
Canton, OH 44702-1805
Phone (330) 455-0374

Other practice location 3

1600 11th St
Wichita Falls, TX 76301-4300
Phone (940) 764-7000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kpatel343413@directwellstar.org
Direct Messaging Address kpatel59740@unitedregional.medalliesdirect.net Direct United Regional Health Care System Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, GA, PA, TX, ME, MI6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20181120000772 OH Practitioner - Psychiatry 8729348107 Reassigns benefits to 2 organizations
I20191121000713 GA Practitioner - Psychiatry 8729348107 Reassigns benefits to 3 organizations
I20200409003186 PA Practitioner - Psychiatry 8729348107 Reassigns benefits to 2 organizations
I20210325000277 TX Practitioner - PsychiatryPractitioner - Neuropsychiatry 8729348107 Reassigns benefits to 3 organizations
I20220722000390 ME Practitioner - Psychiatry 8729348107 Reassigns benefits to 7 organizations
I20220729000305 MI Practitioner - Psychiatry 8729348107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Commonwealth Medical College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Glade Run Medical Associates IncGroup PAC ID 3577696897, 27 clinicians
Cen Clear Child Services IncGroup PAC ID 9436258860, 38 clinicians
Acadia Hospital Corp.Group PAC ID 7719878495, 88 clinicians
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1 Nolte Dr
Kittanning, PA 16201-7111

117 Elk Run Ave
Punxsutawney, PA 15767-1617
Phone (814) 342-5678

13193 Ferguson Valley Rd
Yeagertown, PA 17099-9629
Phone (814) 342-5678

268 Stillwater Ave
Bangor, ME 04401-3945
Phone (207) 973-6100

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4022

50 Bigler Rd
Woodland, PA 16881-0204

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

60 Industrial Park Rd
Clearfield, PA 16830-6016
Phone (814) 342-5678

620 Washington St
Huntingdon, PA 16652-1722
Phone (814) 342-5678

625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004

677 Church Nest
Marietta, GA 30060-1101

677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585

77 Glade Dr
Kittanning, PA 16201-7140
Phone (724) 545-2205

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83051GAMDPsychiatry Physician
35.134534OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Sep 27, 2018 Accepting new patients
Phoenix Rising Behavioral Healthcare and Recovery, Inc CurrentSince Mar 4, 2019 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Sep 27, 2018 Accepting new patients
Border Region MH Mr Community Center Psychiatry CurrentSince Aug 26, 2021 Accepting new patients
Cen Clear Child Services, Inc. CurrentSince May 14, 2020 Accepting new patients
Glade Run Medical Associates CurrentSince Mar 1, 2020 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Oct 1, 2019 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
United Regional Health Care System Inc Current Accepting new patients
Mainegeneral Medical Center CurrentSince Aug 22, 2023 Accepting new patients
Glade Run Medical Associates Inc CurrentSince Mar 1, 2020 Accepting new patients
Central Maine Medical Center CurrentSince Jan 27, 2023 Accepting new patients
McLaren Medical Group Current Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Heart of Texas Region MHMR Center CurrentSince Feb 1, 2021 Accepting new patients
Rumford Hospital CurrentSince Jan 27, 2023 Accepting new patients
Glade Run Medical Associates Inc Current Accepting new patients
Floyd Physicians, LLC Psychiatry CurrentSince Nov 1, 2020 Accepting new patients
HLN Physicians Inc Psychiatry CurrentSince Sep 9, 2020 Accepting new patients
Central Maine Medical Center CurrentSince Jan 27, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Aug 22, 2023 Accepting new patients
McLaren Medical Group CurrentSince Jul 1, 2022 Accepting new patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
Bridgton Hospital CurrentSince Jan 27, 2023 Accepting new patients
Phoenix Rising Behavioral Healthcare and Recovery Inc CurrentSince Mar 4, 2019 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Oct 1, 2019 Accepting new patients
Acadia Hospital Corp CurrentSince Jul 1, 2022 Accepting new patients
Bridgton Hospital CurrentSince Jan 27, 2023 Accepting new patients
Rumford Hospital CurrentSince Jan 27, 2023 Accepting new patients
QKKP Current Accepting new patients
McLaren Medical Group Psychiatry CurrentSince Jul 1, 2022 Accepting new patients
Uhs BH Telepsych FL, PLLC Psychiatry PastSince Sep 5, 2021 Accepting new patients

Locations (25 of 30)

11249 Gold Country Blvd
Ste 130
Gold River, CA 95670
Phone (888) 880-8443

5448 Yorktowne Dr
College Park, GA 30349
Phone (678) 251-3247

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

306 Shorter Ave NW
Rome, GA 30165
Phone (706) 509-3500

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

149 North St
Waterville, ME 04901
Phone (207) 622-1959

5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

624 Market Ave N
Canton, OH 44702
Phone (330) 454-7066

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

3000 Erie St S
Massillon, OH 44646
Phone (330) 833-3135

700 Medical Arts Bldg
Ste 710
Kittanning, PA 16201
Phone (724) 543-8626

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

77 Glade Dr
Kittanning, PA 16201
Phone (724) 545-2205

6 Landings Dr
Pittsburgh, PA 15238

50 Bigler Rd
Woodland, PA 16881

Interoperability endpoints

  • Direct secure messaging: kpatel59740@unitedregional.medalliesdirect.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: kirtan.patel.1@3548.direct.athenahealth.com
  • Direct secure messaging: kirtanpatel2@tdh.allscriptsdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: kpatel198286@direct-lghealth.org
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 8

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1750709143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LANDINGS DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152381366",
            "telephone_number": "724-472-8354",
            "fax_number": "888-731-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ERIE ST S",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446467976",
            "telephone_number": "724-472-8354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2655 Northwinds Pkwy",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300092280",
            "country_code": "US",
            "telephone_number": "877-732-7089",
            "fax_number": "404-751-5297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Cleveland Ave NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447021805",
            "country_code": "US",
            "telephone_number": "330-455-0374",
            "fax_number": "330-453-6716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 11th St",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763014300",
            "country_code": "US",
            "telephone_number": "940-764-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KIRTAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2023-12-29",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "83051",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.134534",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD465125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpatel343413@directwellstar.org",
            "affiliation": "N",
            "address_1": "2655 Northwinds Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300092280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpatel59740@unitedregional.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "United Regional Health Care System Inc",
            "affiliationName": "United Regional Health Care System Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Secure Messaging Address",
            "address_1": "1600 11th St",
            "city": "Wichita Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763014388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.