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SAILJA PATEL APRN-CNP
NPI 1962917054
Nurse Practitioner in Cincinnati, OH

Active since December 11, 2017PECOS Enrolled
3333 BURNET AVE, CINCINNATI, OH 45219(513) 636-4259(513) 636-4267 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2018, Dec 11, 2017 (2 updates tracked since 2017).

About Sailja Patel Aprn-cnp NPPES

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

SAILJA PATEL APRN-CNP (NPI 1962917054) is an individual nurse practitioner in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.023958) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962917054
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSAILJA PATELCredential: APRN-CNP
Location Address3333 BURNET AVECincinnati, OH 45219-3026
Mailing Address3333 Burnet AveCincinnati, OH 45219-3026 · (513) 636-4259 · Fax (513) 636-4267
Phone(513) 636-4259
Fax(513) 636-4267
Sole ProprietorNo
Enumeration DateDecember 11, 2017
Last NPPES UpdateDecember 4, 20182 updates tracked since enumeration
✔ NPI 1962917054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.023958
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 415511 (OH)
3333 BURNET AVE, Cincinnati, OH 45219
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sailja Patel Aprn-cnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Sailja Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Medical Center
Same address
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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.

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 Sailja Patel's NPI number?

The NPI number for Sailja Patel is 1962917054. It was assigned to this individual provider in the NPPES registry on December 11, 2017.

Where is Sailja Patel located?

Sailja Patel practices at 3333 Burnet Ave, Cincinnati, OH 45219. The listed phone number is (513) 636-4259.

What is Sailja Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sailja Patel enrolled in Medicare?

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

Which organization bills Medicare for Sailja Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sailja Patel reassigns Medicare benefits to Children's Hospital Medical Center (Cincinnati, OH). The 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 Sailja Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sailja Patel was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.