SANJIV P PATEL MD
NPI 1144293036
Internal Medicine - Sleep Medicine in Fairfield, OH

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
2960 MACK RD STE 200, FAIRFIELD, OH 45014(513) 774-2870(513) 774-2633 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2020, Nov 28, 2018 (2 updates tracked since 2018).

About Sanjiv P Patel Md NPPES

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

SANJIV P PATEL MD (NPI 1144293036) is an individual sleep medicine provider in Fairfield, Ohio, licensed in Ohio (35.073242) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144293036
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameSANJIV P PATELCredential: MD
Location Address2960 MACK RD STE 200Fairfield, OH 45014-5300
Mailing Address2960 Mack Rd Ste 200Fairfield, OH 45014-5300 · (513) 774-2870 · Fax (513) 774-2727
Fax(513) 774-2633
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1996
Enumeration DateFebruary 10, 2006
Last NPPES UpdateDecember 3, 20202 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
NPI 1144293036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License Licensed in OH · 35.073242
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 35.073242 (OH)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 35073242 (OH)
2960 MACK RD STE 200, Fairfield, OH 45014

Secondary Practice Locations 2

Location 14780 Socialville Foster RdMason, OH 45040-8265 · Phone (513) 459-7750 · Fax (513) 459-8030
Location 23000 Mack Rd Fl 3Fairfield, OH 45014 · Phone (513) 774-2870 · Fax (513) 774-2727

Other Identifiers 4

Other000000329261Bcbs Ohio
Medicaid2517495OH
OtherP00145359Railroad Medicare
Other311138782028Caresource

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

Sanjiv P 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 ID5890773048
PECOS Enrollment IDI20040713000728
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 7

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.
267 services188 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
112 services112 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
103 services99 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
82 services82 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
15 services14 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.
13 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360016
Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County
Emergency services

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45014 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
24 suppliers735 claims735 services$30.55 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
21 suppliers438 claims438 services$75.09 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
20 suppliers388 claims955 services$28.36 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
18 suppliers257 claims1,346 services$15.02 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
17 suppliers195 claims1,057 services$12.84 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
20 suppliers474 claims474 services$46.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Obstetrics & Gynecology (Gynecologic Oncology)
2960 MACK RD STE 200
FAIRFIELD, OH 45014
Nurse Practitioner (Gerontology)
2960 MACK RD STE 200
FAIRFIELD, OH 45014
Physician Assistant
2960 MACK RD STE 200
FAIRFIELD, OH 45014
Nurse Practitioner (Family)
2960 MACK RD STE 200
FAIRFIELD, OH 45014
Nurse Practitioner (Acute Care)
2960 MACK RD STE 200
FAIRFIELD, OH 45014
Nurse Practitioner (Family)
2960 MACK RD STE 200
FAIRFIELD, OH 45014
Otolaryngology
2960 MACK RD STE 200
FAIRFIELD, OH 45014
Audiologist
2960 MACK RD STE 200
FAIRFIELD, OH 45014

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 Sanjiv Patel's NPI number?

The NPI number for Sanjiv Patel is 1144293036. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Sanjiv Patel located?

Sanjiv Patel practices at 2960 Mack Rd Ste 200, Fairfield, OH 45014. The listed phone number is (513) 774-2870.

What is Sanjiv Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Sanjiv Patel enrolled in Medicare?

Yes. Sanjiv 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 Sanjiv Patel accept?

Health plans from CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Sanjiv 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 Sanjiv Patel affiliated with any hospitals?

According to CMS data, Sanjiv Patel is affiliated with Mercy Health-Anderson Hospital, The Jewish Hospital-Mercy Health, Mercy Health - Fairfield Hospital and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Sanjiv Patel was last updated on December 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.