Organization Active NPI

Patrick Mezu MD LLC

  • Hospitalist Physician
  • Centerville, OH
National Provider Identifier
1881092096
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
35076704 Issued in OH
Legal business name
PATRICK MEZU MD LLC
Practice address
2400 Miami Valley Dr
Centerville, OH 45459-4774
Phone
(937) 660-6907
Fax
(937) 350-6477
NPI assigned
Dec 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Dr. Patrick U Mezu, MDNPI 1912924861
Title
Owner, Authorized Signer
Phone
(937) 238-9167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 35076704 OH
Hospitalist PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208M00000X 35076704 OH Primary

Addresses

Primary practice location

2400 Miami Valley Dr
Centerville, OH 45459-4774

Mailing address

PO Box 750084
Dayton, OH 45475-0084
Phone (937) 238-9167

Other identifiers 2

IdentifierTypeStateIssuer
0117017MedicaidOH
H19401OtherOHMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150318001396 OH Part B Supplier - Clinic/Group Practice 6002133766 Receives reassigned benefits from 2 practitioners
Practice locations: Dayton, OH; Bellbrook, OH

National Provider Directory

National Provider Directory

Locations

1 Elizabeth Pl
Fl 4
Dayton, OH 45417
Phone (513) 773-3455

4000 Miamisburg Centerville Rd
Ste 450
Miamisburg, OH 45342
Phone (937) 439-3600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1881092096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750084",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454750084",
            "telephone_number": "937-238-9167",
            "fax_number": "937-350-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MIAMI VALLEY DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594774",
            "telephone_number": "937-660-6907",
            "fax_number": "937-350-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK MEZU MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "MEZU",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "937-238-9167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35076704",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35076704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117017",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H19401",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.