KENI PATEL MD
NPI 1104389998
Family Medicine in Grove City, OH

Active since April 09, 2019PECOS EnrolledAccepts Medicare Assignment
6024 HOOVER RD STE A, GROVE CITY, OH 43123(614) 627-1880 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2022, Apr 9, 2019 (2 updates tracked since 2019).

About Keni Patel Md NPPES

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

KENI PATEL MD (NPI 1104389998) is an individual family medicine provider in Grove City, Ohio, licensed in Ohio (35.144163) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and maintains a secondary practice location in Barberton.

NPPES Registry Identity

NPI1104389998
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENI PATELCredential: MD
Location Address6024 HOOVER RD STE AGrove City, OH 43123-8133
Mailing Address3984 E Main StColumbus, OH 43213-2950 · (614) 906-2617
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 9, 2019
Last NPPES UpdateSeptember 27, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
NPI 1104389998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35.144163
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6024 HOOVER RD STE A, Grove City, OH 43123

Secondary Practice Location 1

Location 1155 5th St NEBarberton, OH 44203-3332 · Phone (330) 615-3205

Accepted 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

Keni Patel Md 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 ID5991127615
PECOS Enrollment IDI20220802002168
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
287 services145 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
72 services72 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services40 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
32 services30 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
29 services29 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
25 services20 patients

Hospital Affiliations CMS Care Compare

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43123 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 5

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

Pediatrics
6024 HOOVER RD STE A
GROVE CITY, OH 43123
Family Medicine
6024 HOOVER RD STE A
GROVE CITY, OH 43123
Nurse Practitioner
6024 HOOVER RD STE A
GROVE CITY, OH 43123
Family Medicine
6024 HOOVER RD STE A
GROVE CITY, OH 43123
Nurse Practitioner (Family)
6024 HOOVER RD STE A
GROVE CITY, OH 43123

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 Keni Patel's NPI number?

The NPI number for Keni Patel is 1104389998. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Keni Patel located?

Keni Patel practices at 6024 Hoover Rd Ste A, Grove City, OH 43123. The listed phone number is (614) 627-1880.

What is Keni Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keni Patel enrolled in Medicare?

Yes. Keni 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 Keni Patel accept?

Health plans from Oscar Health Insurance and UnitedHealthcare list Keni 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 Keni Patel affiliated with any hospitals?

According to CMS data, Keni Patel is affiliated with Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Keni Patel was last updated on September 27, 2022. 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.