DR. JAYKUMAR PATEL MD
NPI 1326401647
Hospitalist in Florence, KY

Q: What is Jaykumar Patel's NPI number?

The NPI number for Jaykumar Patel is 1326401647. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Q: What is Jaykumar Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaykumar Patel was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 April 04, 2016PECOS EnrolledAccepts Medicare Assignment

4900 HOUSTON RD, FLORENCE, KY 41042(859) 301-8074(859) 212-4357 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2025, Apr 1, 2025, Jun 7, 2024 and 4 more (7 updates tracked since 2019).

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About Dr. Jaykumar Patel Md NPPES

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

DR. JAYKUMAR PATEL MD (NPI 1326401647) is an individual hospitalist provider in Florence, Kentucky, licensed in Kentucky (C3946) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1326401647

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. JAYKUMAR PATELCredential: MD

Location Address4900 HOUSTON RDFlorence, KY 41042-4824

Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 301-8074 · Fax (859) 212-4357

Phone(859) 301-8074

Fax(859) 212-4357

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 4, 2016

Last NPPES UpdateAugust 18, 20257 updates tracked since enumeration

NPPES CertifiedAugust 18, 2025

✔ NPI 1326401647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in KY · C3946✔ Licensed in GA · 82043✔ Licensed in IN · 01096642A✔ Licensed in OH · 35C.000001

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35C.000001 (OH), 82043 (GA)

4900 HOUSTON RD, Florence, KY 41042

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Secondary Practice Locations 3

Location 1405 W Grand AveDayton, OH 45405-7538 · Phone (937) 723-3276 · Fax (937) 723-3277

Location 2304 Turner McCall Blvd SWRome, GA 30165-5621 · Phone (706) 509-5000

Location 32518 Jimmy Lee Smith PkwyHiram, GA 30141-2068 · Phone (470) 644-8027

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance 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 and accepts Medicare assignment

Dr. Jaykumar 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 ID3072842830

PECOS Enrollment IDI20221003002458, I20230906003936, I20250708003534, I20250715003676

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 Jaykumar Patel reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Group, Inc

2.4 mi

Psychiatry

1360 DOLWICK DRIVE
Erlanger, KY 41018

Reassigned Medicare billing, Indiana and Kentucky enrollments
246 clinicians in this Medicare group

NPI 1508287640 (859) 344-5555

Mvhe Inc

27 mi

Internal Medicine

7596 TYLERS PLACE BLVD, SUITE B
West Chester, OH 45069

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

NPI 1194999839 (513) 779-7790

Hisey Physician Services, LLC

37 mi

Hospitalist

1 MEDICAL CENTER DR
Middletown, OH 45005

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

NPI 1073380614 (513) 974-2111

Kettering Independent Medical Group Inc

48 mi

Orthopaedic Surgery

1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342

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

NPI 1629387865 (937) 762-1629

Sinclair Physician Services, LLC

56 mi

Hospitalist

1 WYOMING ST
Dayton, OH 45409

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

NPI 1063289601 (937) 208-8000

Upper Valley Professional Corporation

71 mi

Family Medicine

3130 N COUNTY ROAD 25A
Troy, OH 45373

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

NPI 1407872518 (937) 440-7497

24 On Physicians, PC

95 mi

Hospitalist

217 S 3RD ST
Danville, KY 40422

Reassigned Medicare billing, Kentucky, Illinois and Georgia enrollments
Also billed through NPI 1346480431 (Illinois), NPI 1912956251 (Georgia)
89 clinicians in this Medicare group

NPI 1679522346 (800) 923-2247

Whatley Health Services, Inc

412 mi

Federally Qualified Health Center (FQHC)

230 HOSPITAL DR
Vernon, AL 35592

Reassigned Medicare billing, Alabama enrollment
244 clinicians in this Medicare group

NPI 1114101383 (205) 695-0450

Capstone Health Services Foundation PC

431 mi

Neurology

100 RICE MINE ROAD LOOP STE 301
Tuscaloosa, AL 35406

Reassigned Medicare billing, Alabama enrollment
307 clinicians in this Medicare group

NPI 1255212353 (205) 345-3881

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 5

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.

418 services181 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.

96 services95 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.

70 services34 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.

67 services67 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

46 services45 patients

Hospital Affiliations CMS Care Compare 5

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

St Elizabeth Dearborn Hospital

Acute Care Hospitals · Lawrenceburg, IN

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150086

Location600 Wilson Creek RdLawrenceburg, IN 47025 · Dearborn County

Emergency services Birthing friendly

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180001

Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County

Emergency services

St Elizabeth Florence

Acute Care Hospitals · Florence, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180045

Location4900 Houston RoadFlorence, KY 41042 · Boone County

Emergency services

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41042 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers23 claims23 services$14.85 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers65 claims65 services$66.53 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier41 claims41 services$31.00 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers24 claims26 services$20.98 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 20

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

KARAN MOTIANI M.D.

Hospitalist