SMIT DHARMESHBHAI PATEL
NPI 1770043838
Internal Medicine in Dayton, OH

Active since March 23, 2019PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
30 E APPLE ST STE 3300, DAYTON, OH 45409(937) 208-8394 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 15, 2022, Apr 14, 2022, Mar 23, 2019 (3 updates tracked since 2019).

About Smit Dharmeshbhai Patel NPPES

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

SMIT DHARMESHBHAI PATEL (NPI 1770043838) is an individual internal medicine provider in Dayton, Ohio, licensed in Ohio (35.148240) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1770043838
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSMIT DHARMESHBHAI PATEL
Location Address30 E APPLE ST STE 3300Dayton, OH 45409-2939
Mailing Address30 E Apple St Ste 3300Dayton, OH 45409-2939 · (937) 208-8394
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 23, 2019
Last NPPES UpdateSeptember 12, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
✔ NPI 1770043838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 35.148240✔ Licensed in NY · 317863
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.
30 E APPLE ST STE 3300, Dayton, OH 45409

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Smit Dharmeshbhai 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 ID9436488996
PECOS Enrollment IDI20230809003776
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Smit Patel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 270 clinicians in this Medicare group
0.3 mi
Hospitalist
1 WYOMING ST, STE SE 3100B
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
Family Medicine
3130 N COUNTY ROAD 25A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 405 clinicians in this Medicare group
Hospitalist
1 MEDICAL CENTER DR
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 263 clinicians in this Medicare group
Internal Medicine
45 READE PLACE
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 638 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.
212 services90 patients
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.
181 services76 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.
56 services55 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.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

Other Providers at the Same Location NPPES 4

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

Internal Medicine
30 E APPLE ST STE 3300
DAYTON, OH 45409
Nurse Practitioner (Acute Care)
30 E APPLE ST STE 3300
DAYTON, OH 45409
Nurse Practitioner (Gerontology)
30 E APPLE ST STE 3300
DAYTON, OH 45409
Internal Medicine
30 E APPLE ST STE 3300
DAYTON, OH 45409

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 Smit Patel's NPI number?

The NPI number for Smit Patel is 1770043838. It was assigned to this individual provider in the NPPES registry on March 23, 2019.

Where is Smit Patel located?

Smit Patel practices at 30 E Apple St Ste 3300, Dayton, OH 45409. The listed phone number is (937) 208-8394.

What is Smit Patel's specialty?

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

Is Smit Patel enrolled in Medicare?

Yes. Smit 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.

Which organizations bill Medicare for Smit Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Smit Patel reassigns Medicare benefits to 5 organizations: Sinclair Physician Services, LLC (Dayton, OH), Mvhe Inc (Dayton, OH), Upper Valley Professional Corporation (Troy, OH), Hisey Physician Services, LLC (Middletown, OH) and Nuvance Health Medical Practice PC (Poughkeepsie, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Smit Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Smit Patel accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Smit 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 Smit Patel affiliated with any hospitals?

According to CMS data, Smit Patel is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Smit Patel was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.