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DR. KETAN KAKALBHAI PATEL M.D.
NPI 1699721050
Internal Medicine - Geriatric Medicine in Milford, OH

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
5714 SIGNAL HILL CT STE C, MILFORD, OH 45150(513) 831-4811(513) 795-0754 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ketan Kakalbhai Patel M.d. NPPES

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

DR. KETAN KAKALBHAI PATEL M.D. (NPI 1699721050) is an individual geriatric medicine provider in Milford, Ohio, licensed in Ohio (35074670) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Christus St Michael Health System, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1699721050
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. KETAN KAKALBHAI PATELCredential: M.D.
Location Address5714 SIGNAL HILL CT STE CMilford, OH 45150-1459
Mailing Address5714 C Signal HillMilford, OH 45150-2416 · (513) 831-4811 · Fax (513) 795-0754
Phone(513) 831-4811
Fax(513) 795-0754
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateMay 26, 2006
Last NPPES UpdateApril 22, 2024
NPPES CertifiedApril 22, 2024
✔ NPI 1699721050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in OH · 35074670
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X · License S9964 (TX)
5714 SIGNAL HILL CT STE C, Milford, OH 45150
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Other Identifiers 2

Medicaid2194307OH
Other000000223319OH · Anthem Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.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

Dr. Ketan Kakalbhai 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 ID1850361882
PECOS Enrollment IDI20210630004227
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.
415 services163 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.
361 services151 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.
200 services195 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.
56 services56 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.
46 services46 patients

Hospital Affiliations CMS Care Compare

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

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45150 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%285 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
5 suppliers34 claims34 services$16.05 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
5 suppliers44 claims44 services$79.50 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

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

INTERNAL MEDICINE & GERIATRIC CARE
Internal Medicine
5714 SIGNAL HILL CT STE C
MILFORD, OH 45150
Clermont County (513) 831-4811

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 Ketan Patel's NPI number?

The NPI number for Ketan Patel is 1699721050. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Ketan Patel located?

Ketan Patel practices at 5714 Signal Hill Ct Ste C, Milford, OH 45150. The listed phone number is (513) 831-4811.

What is Ketan Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Ketan Patel enrolled in Medicare?

Yes. Ketan 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 Ketan Patel accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Ketan 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 Ketan Patel affiliated with any hospitals?

According to CMS data, Ketan Patel is affiliated with Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Ketan Patel was last updated on April 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.