NAYNESH R PATEL MD
NPI 1629042155
Family Medicine in Dayton, OH

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
68 DARST RD, DAYTON, OH 45440(937) 531-0132(937) 531-0134 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2024, Jan 6, 2021 (2 updates tracked since 2021).

About Naynesh R Patel Md NPPES

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

NAYNESH R PATEL MD (NPI 1629042155) is an individual family medicine provider in Dayton, Ohio, licensed in Ohio (35057996P) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Greene Memorial, and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1629042155
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNAYNESH R PATELCredential: MD
Location Address68 DARST RDDayton, OH 45440-3442
Mailing Address4172 Indian Ripple Rd Ste ABeavercreek, OH 45440-3286 · (937) 431-3779 · Fax (937) 431-3776
Fax(937) 531-0134
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1986
Enumeration DateFebruary 13, 2006
Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
NPI 1629042155 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 · 35057996P
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.

68 DARST RD, Dayton, OH 45440

Secondary Practice Location 1

Location 14172 Indian Ripple Rd, Suite ADayton, OH 45440-3285 · Phone (937) 431-3779 · Fax (937) 431-3776

Other Identifiers 1

Medicaid2015438OH

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

Naynesh R 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 ID7416980529
PECOS Enrollment IDI20090917000002
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 13

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.
200 services94 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.
120 services38 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.
86 services86 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
67 services64 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
56 services53 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
54 services42 patients

Hospital Affiliations CMS Care Compare 5

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

Kettering Health Greene Memorial

Acute Care Hospitals · Xenia, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360026
Location1141 North Monroe DriveXenia, OH 45385 · Greene County
Emergency services

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

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

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45440 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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier13 claims13 services$208.88 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 11

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

Family Medicine
68 DARST RD, OLLIE DAVIS BLDG
DAYTON, OH 45440
Family Medicine
68 DARST RD
DAYTON, OH 45440
Family Medicine
68 DARST RD
BEAVERCREEK, OH 45440
Family Medicine
68 DARST RD
BEAVERCREEK, OH 45440
Family Medicine
68 DARST RD
BEAVERCREEK, OH 45440
Family Medicine
68 DARST RD
BEAVERCREEK, OH 45440
Nurse Practitioner (Primary Care)
68 DARST RD
BEAVERCREEK, OH 45440
Family Medicine
68 DARST RD
BEAVERCREEK, OH 45440

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 Naynesh Patel's NPI number?

The NPI number for Naynesh Patel is 1629042155. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Naynesh Patel located?

Naynesh Patel practices at 68 Darst Rd, Dayton, OH 45440. The listed phone number is (937) 531-0132.

What is Naynesh Patel's specialty?

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

Is Naynesh Patel enrolled in Medicare?

Yes. Naynesh 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 Naynesh Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Naynesh 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 Naynesh Patel affiliated with any hospitals?

According to CMS data, Naynesh Patel is affiliated with Kettering Health Greene Memorial, Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Naynesh Patel was last updated on September 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.