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RUCHI PATEL NP
NPI 1053004044
Nurse Practitioner - Acute Care in Middletown, OH

Active since May 26, 2023PECOS EnrolledAccepts Medicare Assignment
200 MEDICAL CENTER DR STE 360, MIDDLETOWN, OH 45005(513) 217-5720(513) 271-5729 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2023, May 26, 2023 (2 updates tracked since 2023).

About Ruchi Patel Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUCHI PATEL NP (NPI 1053004044) is an individual acute care provider in Middletown, Ohio, licensed in Ohio (0034076) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Summa Health System, and maintains a secondary practice location in Amelia.

NPPES Registry Identity

NPI1053004044
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameRUCHI PATELCredential: NP
Location Address200 MEDICAL CENTER DR STE 360Middletown, OH 45005-5179
Mailing Address2123 Auburn Ave Ste 404Cincinnati, OH 45219-2906 · (513) 241-5630 · Fax (513) 241-7146
Phone(513) 217-5720
Fax(513) 271-5729
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 26, 2023
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1053004044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · 0034076
Also ListedRegistered NurseTaxonomy 163W00000X · License 482184 (OH)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 0034076 (OH)
200 MEDICAL CENTER DR STE 360, Middletown, OH 45005
Open in Google Maps ↗

Secondary Practice Location 1

Location 11259 White Oak RdAmelia, OH 45102-1644 · Phone (330) 277-8679

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ruchi Patel Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153781166
PECOS Enrollment IDI20230721000506
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
33 services18 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Summa Health System

Acute Care Hospitals · Akron, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360020
Location525 East Market StreetAkron, OH 44309 · Summit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DHARIKA PARESHKUMAR SHAH DO
Internal Medicine (Nephrology)
200 MEDICAL CENTER DR STE 360
MIDDLETOWN, OH 45005
Warren County (513) 487-5305
DR. SAVIO M KUMAR M.D.
Internal Medicine (Nephrology)
200 MEDICAL CENTER DR STE 360
MIDDLETOWN, OH 45005
Warren County (513) 217-5720
DR. AMIT KUMAR RAJPUT M.D.
Internal Medicine (Nephrology)
200 MEDICAL CENTER DR STE 360
MIDDLETOWN, OH 45005
Warren County (513) 217-5720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ruchi Patel's NPI number?

The NPI number for Ruchi Patel is 1053004044. It was assigned to this individual provider in the NPPES registry on May 26, 2023.

Where is Ruchi Patel located?

Ruchi Patel practices at 200 Medical Center Dr Ste 360, Middletown, OH 45005. The listed phone number is (513) 217-5720.

What is Ruchi Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Ruchi Patel enrolled in Medicare?

Yes. Ruchi Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ruchi Patel accept?

Health plans from CareSource and UnitedHealthcare list Ruchi Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ruchi Patel affiliated with any hospitals?

According to CMS data, Ruchi Patel is affiliated with Summa Health System.

When was this NPI record last updated?

The NPPES record for Ruchi Patel was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.