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DIGISHA PATEL D.M.D
NPI 1730557059
Dentist - General Practice in Middletown, OH

Active since September 02, 2015PECOS Enrolled
675 N UNIVERSITY BLVD, MIDDLETOWN, OH 45042(513) 217-5520 Get Directions Write a Review

NPPES record last updated: September 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Digisha Patel D.m.d NPPES

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

DIGISHA PATEL D.M.D (NPI 1730557059) is an individual general practice provider in Middletown, Ohio, licensed in Ohio (30-024578) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730557059
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDIGISHA PATELCredential: D.M.D
Location Address675 N UNIVERSITY BLVDMiddletown, OH 45042-3355
Mailing Address675 N University BlvdMiddletown, OH 45042-3355
Phone(513) 217-5520
Sole ProprietorNo
Enumeration DateSeptember 2, 2015
✔ NPI 1730557059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OH · 30-024578
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
675 N UNIVERSITY BLVD, Middletown, OH 45042
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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 (PECOS)

Digisha Patel D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45042 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
$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.

Other Providers at the Same Location NPPES 5

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

SARA SOWERS M.S.W., L.I.S.W.
Social Worker (Clinical)
675 N UNIVERSITY BLVD
MIDDLETOWN, OH 45042
Butler County (937) 268-6511
MRS. DANA RENAE THEISS CDCA
Counselor (Addiction (Substance Use Disorder))
675 N UNIVERSITY BLVD
MIDDLETOWN, OH 45042
Butler County (513) 427-0444
SAVANNAH K REYNOLDS
Counselor (Addiction (Substance Use Disorder))
675 N UNIVERSITY BLVD
MIDDLETOWN, OH 45042
Butler County (513) 427-0444
RIVER ROCKS RECOVERY LLC
Community/Behavioral Health
675 N UNIVERSITY BLVD
MIDDLETOWN, OH 45042
Butler County (347) 443-1486
RIVER ROCKS RECOVERY LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
675 N UNIVERSITY BLVD
MIDDLETOWN, OH 45042
Butler County (347) 443-1486

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 Digisha Patel's NPI number?

The NPI number for Digisha Patel is 1730557059. It was assigned to this individual provider in the NPPES registry on September 2, 2015.

Where is Digisha Patel located?

Digisha Patel practices at 675 N University Blvd, Middletown, OH 45042. The listed phone number is (513) 217-5520.

What is Digisha Patel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Digisha Patel enrolled in Medicare?

Yes. Digisha Patel is registered in the Medicare PECOS enrollment system.

What insurance does Digisha Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross and Blue Shield of Montana and 13 other insurers list Digisha 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.

When was this NPI record last updated?

The NPPES record for Digisha Patel was last updated on September 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.