Individual provider Active NPI

Shashikant R Patel, MD

  • Nephrology Physician
  • Dayton, OH
National Provider Identifier
1962682609
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35.095397 Issued in OH
Practice address
7700 Washington Village Dr
Ste 230
Dayton, OH 45459
Phone
(937) 438-3132
Fax
(937) 438-8707
NPI assigned
Nov 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35.095397 OH Primary

Addresses

Primary practice location

7700 Washington Village Dr
Ste 230
Dayton, OH 45459

Mailing address

7700 Washington Village Dr
Ste 220
Dayton, OH 45459-4094
Phone (937) 438-3132

Other practice location 1

165 S Edwin C Moses Blvd
Dayton, OH 45402-8472
Phone (937) 558-0200

Other identifiers 1

IdentifierTypeStateIssuer
3068979MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address spatel187271@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

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
I20100908001149 OH Practitioner - NephrologyPractitioner - Internal Medicine 1254456684 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renal Physicians IncGroup PAC ID 5193624161, 29 clinicians

Practice addresses (Care Compare)

455 Turner Rd
Dayton, OH 45415-3630
Phone (937) 496-5162

500 Lincoln Park Blvd
Suite 100
Dayton, OH 45429-6410

Hospital & facility affiliations

  • Fresenius Medical Care Dayton Regional Dialysis North Dialysis facility, Dayton, OH, CCN 362512
  • FMC - Dayton Regional Dialysis-South,Inc Dialysis facility, Dayton, OH, CCN 362528
  • FMC - Dayton West Dialysis facility, Trotwood, OH, CCN 362811
  • Fresenius Kidney Care Dayton East Dialysis facility, Dayton, OH, CCN 362868
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
  • Pam Rehabilitation Hospital of Dayton LLC Inpatient rehabilitation facility, Miamisburg, OH, CCN 363046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.095397OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Physicians Inc Nephrology CurrentSince Apr 1, 2025 Accepting new patients
Alliance Physicians Inc Current Accepting new patients
Dayton Osteopathic Hospital CurrentSince Oct 1, 2014 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Oct 1, 2014 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

455 Turner Rd
Dayton, OH 45415
Phone (937) 294-6711

7700 Washington Village Dr
Ste 230
Dayton, OH 45459
Phone (937) 438-0099

1989 Miamisburg Centerville Rd
Ste 302
Dayton, OH 45459
Phone (937) 528-6890

7700 Washington Village Dr
Ste 213
Dayton, OH 45459
Phone (934) 312-6540

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

7231 Shull Rd
Dayton, OH 45424
Phone (937) 235-2757

450B Washington Jackson Rd
Ste 107
Eaton, OH 45320
Phone (877) 645-9474

450C Washington Jackson Rd
Eaton, OH 45320
Phone (937) 235-2757

8701 Troy Pike
Ste 10
Huber Heights, OH 45424
Phone (937) 235-2757

500 Lincoln Park Blvd
Ste 100
Kettering, OH 45429
Phone (937) 222-3118

Organizations & group practices 6

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 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": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1962682609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 WASHINGTON VILLAGE DR",
            "address_2": "STE 220",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594094",
            "telephone_number": "937-438-3132",
            "fax_number": "937-438-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 WASHINGTON VILLAGE DR",
            "address_2": "STE 230",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-438-3132",
            "fax_number": "937-438-8707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 S Edwin C Moses Blvd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454028472",
            "country_code": "US",
            "telephone_number": "937-558-0200",
            "fax_number": "937-558-0201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHASHIKANT",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35.095397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3068979",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spatel187271@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "165 S Edwin C Moses Blvd",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454028472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "165 S Edwin C Moses Blvd",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454028472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.