NPIMap

Individual provider Active NPI

Patrick U Mezu, MD

  • Hospitalist Physician
  • Centerville, OH
National Provider Identifier
1912924861
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
35.076704 Issued in OH
Practice address
2400 Miami Valley Dr
Centerville, OH 45459-4774
Phone
(937) 660-6907
Fax
(937) 350-6477
NPI assigned
Jul 16, 2006
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-076704 OH
Hospitalist Physician 208M00000X 35.076704 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) 556-4324

Other identifiers 3

IdentifierTypeStateIssuer
2147617MedicaidOH
H194022OtherOHMEDICARE PTAN
P01467108OtherOHRRMEDICARE PTAN

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
I20100222000521 OH Practitioner - Internal Medicine 2062556533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patrick Mezu MD LLCGroup PAC ID 6002133766, 2 clinicians

Practice addresses (Care Compare)

4320 Willow Creek Cir
Bellbrook, OH 45305-8797
Phone (937) 238-9167

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-076704OHMDInternal Medicine Physician
35.076704OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC Hospitalist CurrentSince Sep 10, 2013 Accepting new patients
Patrick Mezu MD LLC Internal Medicine CurrentSince Dec 16, 2014 Accepting new patients
KND Development 59, LLC Hospitalist CurrentSince Sep 10, 2013 Accepting new patients
KND Development 59 LLC Hospitalist Current Accepting new patients
Kindred Hospitals East, LLC Past Accepting new patients

Locations

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

707 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 221-8000

3205 Woodman Dr
Kettering, OH 45420
Phone (937) 298-4417

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

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

Hospital & facility affiliations 5

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1912924861",
    "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": "937-556-4324",
            "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": {
        "last_name": "MEZU",
        "first_name": "PATRICK",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-076704",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.076704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2147617",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H194022",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE PTAN",
            "identifier": "P01467108",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.