SANDEEP MAHESH PATEL MD
NPI 1336379635
Internal Medicine - Cardiovascular Disease in Lima, OH

Active since July 21, 2009PECOS EnrolledAccepts Medicare Assignment
82.89/100
CMS Quality Rating
730 W MARKET ST STE 2K, LIMA, OH 45801(419) 996-5852(419) 996-5854 Get Directions Write a Review

NPPES record last updated: August 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandeep Mahesh Patel Md NPPES

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

SANDEEP MAHESH PATEL MD (NPI 1336379635) is an individual cardiovascular disease provider in Lima, Ohio, licensed in Ohio (35126749) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and is a graduate of Northeastern Ohio University College Of Medicine (2009).

NPPES Registry Identity

NPI1336379635
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSANDEEP MAHESH PATELCredential: MD
Location Address730 W MARKET ST STE 2KLima, OH 45801-4602
Mailing AddressPo Box 636930Cincinnati, OH 45263-6930
Fax(419) 996-5854
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2009
Enumeration DateJuly 21, 2009
Last NPPES UpdateAugust 9, 2017
NPI 1336379635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in OH · 35126749
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 53134 (MN)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 35126749 (OH)
730 W MARKET ST STE 2K, Lima, OH 45801

Other Identifiers 3

OtherP01021850MN · Railroad Medicare
Medicaid0157142OH
Medicare PIN110013593MN

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

Sandeep Mahesh 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 ID6709910821
PECOS Enrollment IDI20160927000789
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 47

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,959 services1,113 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
414 services343 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.
326 services305 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
321 services265 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.
222 services213 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
197 services90 patients

Hospital Affiliations CMS Care Compare 5

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360032
Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County
Emergency services Birthing friendly

Mercer County Joint Township Community Hospital

Acute Care Hospitals · Coldwater, OH
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number360058
Location800 West Main StreetColdwater, OH 45828 · Mercer County
Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Mercy Health - Tiffin Hospital

Acute Care Hospitals · Tiffin, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360089
Location45 St Lawrence DriveTiffin, OH 44883 · Seneca County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45801 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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.9
Promoting Interoperability99
Improvement Activities40
Cost46.3

Reported Quality Measures

Breast Cancer Screening
57%238 patients3/55-star benchmark: 93%
Cervical Cancer Screening
42%118 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
12%203 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
61%705 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
74%578 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
26%226 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
29%226 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%1,986 patients4/55-star benchmark: 100%
e-Prescribing
95%875 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
78%972 patients4/55-star benchmark: 100%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
84%32 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
93%1,413 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
45%1,029 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%739 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 93% · 289 patients
Patients screened: 96% · 289 patients
84%45 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%501 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%1,144 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 16% · 975 patients
Patients totalRate: 21% · 975 patients
19%975 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner
730 W MARKET ST STE 2K
LIMA, OH 45801
Physician Assistant
730 W MARKET ST STE 2K
LIMA, OH 45801
Nurse Practitioner (Gerontology)
730 W MARKET ST STE 2K
LIMA, OH 45801
Thoracic Surgery (Cardiothoracic Vascular Surgery)
730 W MARKET ST STE 2K
LIMA, OH 45801
Internal Medicine (Cardiovascular Disease)
730 W MARKET ST STE 2K
LIMA, OH 45801
Physician Assistant
730 W MARKET ST STE 2K
LIMA, OH 45801
Thoracic Surgery (Cardiothoracic Vascular Surgery)
730 W MARKET ST STE 2K
LIMA, OH 45801
Internal Medicine (Cardiovascular Disease)
730 W MARKET ST STE 2K
LIMA, OH 45801

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 Sandeep Patel's NPI number?

The NPI number for Sandeep Patel is 1336379635. It was assigned to this individual provider in the NPPES registry on July 21, 2009.

Where is Sandeep Patel located?

Sandeep Patel practices at 730 W Market St Ste 2K, Lima, OH 45801. The listed phone number is (419) 996-5852.

What is Sandeep Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sandeep Patel enrolled in Medicare?

Yes. Sandeep 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 Sandeep Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 4 other insurers list Sandeep 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 Sandeep Patel affiliated with any hospitals?

According to CMS data, Sandeep Patel is affiliated with Lima Memorial Health System, Grand Lake Health System, Mercer County Joint Township Community Hospital, Mercy Health-St Rita's Medical Center and Mercy Health - Tiffin Hospital.

When was this NPI record last updated?

The NPPES record for Sandeep Patel was last updated on August 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.