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JIGAR PRAVIN PATEL
NPI 1528401767
Internal Medicine in Troy, OH

Active since April 08, 2013PECOS EnrolledAccepts Medicare Assignment
90.54/100
CMS Quality Rating
3130 N COUNTY ROAD 25A, TROY, OH 45373(937) 440-4466(937) 440-4470 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jigar Pravin Patel NPPES

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

JIGAR PRAVIN PATEL (NPI 1528401767) is an individual internal medicine provider in Troy, Ohio, licensed in Ohio (35.129421) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1528401767
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJIGAR PRAVIN PATEL
Location Address3130 N COUNTY ROAD 25ATroy, OH 45373-1337
Mailing Address3130 N County Road 25aTroy, OH 45373-1337 · (937) 440-4466 · Fax (937) 440-4470
Phone(937) 440-4466
Fax(937) 440-4470
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 8, 2013
Last NPPES UpdateMay 8, 2017
✔ NPI 1528401767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.129421
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3130 N COUNTY ROAD 25A, Troy, OH 45373
Open in Google Maps ↗

Other Identifiers 2

Medicaid0204877OH
Medicare PINH541060

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Jigar Pravin Patel 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 ID9931335692
PECOS Enrollment IDI20170412002261
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 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 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.
297 services161 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.
166 services159 patients
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.
163 services113 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 services66 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
34 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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.

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.

90.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Promoting Interoperability100
Improvement Activities40
Cost87.75

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier15 claims15 services$51.32 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 supplier16 claims16 services$18.67 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 supplier18 claims18 services$96.25 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.

CHRISTINE L ASHER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-7626
SARAH JONES ACNS-BC, AOCNS
Clinical Nurse Specialist (Adult Health)
3130 N COUNTY ROAD 25A, CANCER CARE CENTER
TROY, OH 45373
Miami County (937) 440-4827
SUSAN BETH GRAU MD
Family Medicine
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-4466
MRS. KARA SUE BRUSKOTTER CNP
Nurse Practitioner (Family)
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 638-8176
CHARLES N SMITH CRNA
Nurse Anesthetist, Certified Registered
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (614) 459-7830
MARK COOPER LSW
Social Worker
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-7001
UPPER VALLEY MEDICAL CENTER
Home Health
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-7979
BRIAN ALLEN HAYNES PHARMD
Pharmacist
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-4760

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 Jigar Patel's NPI number?

The NPI number for Jigar Patel is 1528401767. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Where is Jigar Patel located?

Jigar Patel practices at 3130 N County Road 25A, Troy, OH 45373. The listed phone number is (937) 440-4466.

What is Jigar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jigar Patel enrolled in Medicare?

Yes. Jigar 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 Jigar Patel accept?

Health plans from CareSource list Jigar 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 Jigar Patel affiliated with any hospitals?

According to CMS data, Jigar Patel is affiliated with Miami Valley Hospital and Upper Valley Medical Center.

When was this NPI record last updated?

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