SOHIL PATEL M.D.
NPI 1437599099
Family Medicine in Sylvania, OH

Q: What is Sohil Patel's NPI number?

The NPI number for Sohil Patel is 1437599099. It was assigned to this individual provider in the NPPES registry on June 27, 2013.

Q: What is Sohil Patel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sohil Patel was last updated on November 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 27, 2013PECOS EnrolledAccepts Medicare Assignment

5308 HARROUN RD, # 155, SYLVANIA, OH 43560(419) 824-6100(419) 841-7735 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sohil Patel M.d. NPPES

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

SOHIL PATEL M.D. (NPI 1437599099) is an individual family medicine provider in Sylvania, Ohio, licensed in Ohio (35128807) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1437599099

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSOHIL PATELCredential: M.D.

Location Address5308 HARROUN RD, # 155Sylvania, OH 43560-2193

Mailing Address5308 Harroun Rd, # 155Sylvania, OH 43560-2193 · (419) 824-6100 · Fax (419) 841-7735

Phone(419) 824-6100

Fax(419) 841-7735

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 27, 2013

Last NPPES UpdateNovember 3, 2023

✔ NPI 1437599099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35128807

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.

5308 HARROUN RD, Sylvania, OH 43560

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Sohil Patel M.d. 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 ID2668750647

PECOS Enrollment IDI20161026000457

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 8

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.

168 services97 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.

126 services84 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.

103 services103 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

28 services19 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

26 services26 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230005

Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County

Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360259

Location2801 Bay Park DriveOregon, OH 43616 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43560 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers12 claims32 services$6.32 avg. paid by Medicare

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

DME-Oxygen and Supplies · category DC000N

1 supplier24 claims24 services$12.58 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

1 supplier24 claims24 services$56.18 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 19

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

WILLIAM L HORVATH MD

Internal Medicine (Hematology & Oncology)

5308 HARROUN RD, SUITE 055
SYLVANIA, OH 43560

Lucas County (419) 824-6599

KENNETH R KRUPP MD

Internal Medicine (Hematology & Oncology)

5308 HARROUN RD, SUITE 055
SYLVANIA, OH 43560

Lucas County (419) 824-6599

GEORGE M PIPOLY MD

Internal Medicine (Hematology & Oncology)

5308 HARROUN RD, SUITE 055
SYLVANIA, OH 43560

Lucas County (419) 824-6599

A DAVID B JAMES MD

Internal Medicine

5308 HARROUN RD, STE 155
SYLVANIA, OH 43560

Lucas County (419) 824-6100

PROMEDICA CENTRAL PHYSICIANS

Surgery (Surgical Oncology)

5308 HARROUN RD, SUITE 160
SYLVANIA, OH 43560

Lucas County (419) 824-5668

MIDWEST CARDIOVASCULAR CONSUTLANTS, LLC

Internal Medicine (Cardiovascular Disease)

5308 HARROUN RD, SUITE 165
SYLVANIA, OH 43560

Lucas County (419) 824-5162

DIALYSIS PARTNERS OF NORTHWEST OHIO, LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

5308 HARROUN RD, SUITE 60
SYLVANIA, OH 43560

Lucas County (248) 642-5038

PROMEDICA CENTRAL PHYSICIANS LLC

Family Medicine

5308 HARROUN RD, SUITE 170
SYLVANIA, OH 43560

Lucas County (419) 824-1999

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 Sohil Patel's NPI number?

The NPI number for Sohil Patel is 1437599099. It was assigned to this individual provider in the NPPES registry on June 27, 2013.

Where is Sohil Patel located?

Sohil Patel practices at 5308 Harroun Rd # 155, Sylvania, OH 43560. The listed phone number is (419) 824-6100.

What is Sohil Patel's specialty?

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

Is Sohil Patel enrolled in Medicare?

Yes. Sohil 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 Sohil Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Sohil 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 Sohil Patel affiliated with any hospitals?

According to CMS data, Sohil Patel is affiliated with Promedica Charles And Virginia Hickman Hospital, Promedica Toledo Hospital and Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Sohil Patel was last updated on November 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.