DR. PRAVESH B PATEL MD
NPI 1164409090
Psychiatry & Neurology - Psychiatry in Dayton, OH

Q: What is Pravesh Patel's NPI number?

The NPI number for Pravesh Patel is 1164409090. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Q: What is Pravesh Patel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Pravesh Patel was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since December 30, 2005PECOS Enrolled

1520 GERMANTOWN ST, DAYTON, OH 45417(937) 222-8111(937) 222-3019 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Pravesh B Patel Md NPPES

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

DR. PRAVESH B PATEL MD (NPI 1164409090) is an individual psychiatry provider in Dayton, Ohio, licensed in Ohio (35083993P) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1164409090

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. PRAVESH B PATELCredential: MD

Location Address1520 GERMANTOWN STDayton, OH 45417-3318

Mailing Address1520 Germantown StDayton, OH 45417-3318 · (937) 222-8111 · Fax (937) 222-3019

Phone(937) 222-8111

Fax(937) 222-3019

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateDecember 30, 2005

Last NPPES UpdateJune 12, 2013

✔ NPI 1164409090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in OH · 35083993P✔ Licensed in IN · 01049357A

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1520 GERMANTOWN ST, Dayton, OH 45417

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Other Identifiers 7

Medicare ID-Type UnspecifiedPA4151492OH

Medicare ID-Type Unspecified116660E5IN

Medicaid200490910IN

Medicare PIN254820IN

Medicare PIN254820

Medicaid2272231OH

Medicare UPINH49707

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pravesh B Patel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355327875

PECOS Enrollment IDI20050302000541, I20240812001656

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.

Medicare Billing Reassignments

Medicare enrollment records show Pravesh Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Access Ohio, LLC

3.5 mi

Substance Abuse Rehabilitation Facility

2611 WAYNE AVE BLDG 64
Dayton, OH 45420

Reassigned Medicare billing, Ohio enrollment
64 clinicians in this Medicare group

NPI 1194179150 (614) 256-7811

Mahajan Therapeutics, LLC

5.5 mi

Community/Behavioral Health

6300 N MAIN ST
Dayton, OH 45415

Reassigned Medicare billing, Ohio enrollment
41 clinicians in this Medicare group

NPI 1669531810 (937) 275-1500

Clearing Path's Therapeutic Services, Ltd

6.1 mi

Mental Health

5450 FAR HILLS AVE STE 110
Kettering, OH 45429

Reassigned Medicare billing, Ohio enrollment
21 clinicians in this Medicare group

NPI 1043511975 (937) 299-9060

Farrellco Inc

34 mi

Clinical

375 GLENSPRINGS DR, SUITE 300
Cincinnati, OH 45246

Reassigned Medicare billing, Ohio enrollment
8 clinicians in this Medicare group

NPI 1578993572 (513) 825-6600

Sondermind Provider Network LLC

1,104 mi

Clinical

1738 WYNKOOP ST STE 303
Denver, CO 80202

Reassigned Medicare billing, Maryland and Ohio enrollments
179 clinicians in this Medicare group

NPI 1760854442 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

247 services57 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

66 services43 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

46 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45417 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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 10

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

MR. WILLIAM BUCHANAN LSW

Social Worker