Individual provider Active NPI

Deepa Patel, CRNP

  • Adult Health Nurse Practitioner
  • Dublin, OH
National Provider Identifier
1982856274
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
18116 Issued in OH
Practice address
4975 Bradenton Ave
Dublin, OH 43017-3521
Phone
(614) 766-0773
Fax
(614) 766-2599
NPI assigned
Oct 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R135472 MD
Adult Health Nurse Practitioner 363LA2200X 18116 OH Primary

Addresses

Primary practice location

4975 Bradenton Ave
Dublin, OH 43017-3521

Mailing address

4975 Bradenton Ave
Dublin, OH 43017-3521
Phone (614) 766-0773

Other practice location 1

6701 N Charles St
Room 3808
Baltimore, MD 21204-6808
Phone (443) 849-6098

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160509001583 OH Practitioner - Nurse Practitioner 8224222195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Sleep Medicine and Neuroscience Institute IncGroup PAC ID 4183528789, 5 clinicians

Practice addresses (Care Compare)

4975 Bradenton Ave
Dublin, OH 43017-3521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18116OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Sleep Medicine and Neuroscience Institute, Inc. CurrentSince Mar 13, 2016 Accepting new patients

Locations

4975 Bradenton Ave
Dublin, OH 43017
Phone (614) 766-0773

Interoperability endpoints

  • Direct secure messaging: dpatel@osmi.gwaydirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982856274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173521",
            "telephone_number": "614-766-0773",
            "fax_number": "614-766-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173521",
            "telephone_number": "614-766-0773",
            "fax_number": "614-766-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 N Charles St",
            "address_2": "Room 3808",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212046808",
            "country_code": "US",
            "telephone_number": "443-849-6098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEEPA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R135472",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "18116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.