Individual provider Active NPI

Sachin Vijay Patel, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Beachwood, OH
National Provider Identifier
1942592258
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
3609 Park East Dr Ste 207
Beachwood, OH 44122-4309
Phone
(216) 360-0456
Fax
(216) 360-9449
NPI assigned
May 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 PATE4393848 OH
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

3609 Park East Dr Ste 207
Beachwood, OH 44122-4309

Mailing address

3609 Park East Dr Ste 207
Beachwood, OH 44122-4309
Phone (216) 360-0456

Other identifiers 1

IdentifierTypeStateIssuer
PATE4393848OtherOHOHIO MEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161109001725 OH Practitioner - Infectious DiseasePractitioner - Internal Medicine 3577864941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Id Consultants of Northeast Ohio IncGroup PAC ID 1355747882, 17 clinicians

Practice addresses (Care Compare)

3609 Park E Dr
Suite 207
Beachwood, OH 44122-4309
Phone (216) 360-0456

Hospital & facility affiliations

  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Marymount Hospital Hospital, Garfield Heights, OH, CCN 360143
  • South Pointe Hospital Hospital, Warrensville Heights, OH, CCN 360144
  • University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PATE4393848OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Id Consultants of Northeast Ohio, Inc CurrentSince Aug 1, 2021 Accepting new patients
The Metrohealth System Current Accepting new patients
Id Consultants Inc CurrentSince Aug 31, 2016 Accepting new patients
Infusion Associates of Ohio LLC Internal Medicine Past Accepting new patients

Locations

3401 Enterprise Pkwy
Ste 110
Beachwood, OH 44122
Phone (216) 245-6762

3609 Park East Dr
Ste 207
Cleveland, OH 44122
Phone (216) 360-9480

6640 Poe Ave
Ste 110
Dayton, OH 45414
Phone (937) 759-9906

150 Springside Dr
Ste 235B
Fairlawn, OH 44333
Phone (216) 360-9480

155 Lincoln Way W
Ste A109
Massillon, OH 44647
Phone (216) 488-1060

9381 Mentor Ave
Mentor, OH 44060
Phone (440) 890-4736

18100 Jefferson Park Rd
Ste 106
Middleburg Heights, OH 44130
Phone (216) 628-7050

50 Normandy Dr
Ste 1
Painesville, OH 44077

6220 Wilmington Pike
Ste 6220B
Sugarcreek Township, OH 45459
Phone (937) 741-4658

2000 Regency Ct
Ste 100A
Toledo, OH 43623
Phone (833) 394-0600

2211 Crocker Rd
Ste 170
Westlake, OH 44145
Phone (216) 360-9480

Interoperability endpoints

  • Direct secure messaging: spatel103739@direct.metrohealth.org
  • Direct secure messaging: spatel482848@direct.ccf.org
  • Direct secure messaging: spatel35964@ehrdirect.uhhospitals.org

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.

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": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1942592258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 PARK EAST DR STE 207",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224309",
            "telephone_number": "216-360-0456",
            "fax_number": "216-360-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 PARK EAST DR STE 207",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224309",
            "telephone_number": "216-360-0456",
            "fax_number": "216-360-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SACHIN",
        "middle_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "PATE4393848",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAL LICENSE NUMBER",
            "identifier": "PATE4393848",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.