PRIYA PATEL
NPI 1316793607
Emergency Medicine in Toledo, OH
NPI Status: Active since April 26, 2024
- Individual
- Female
- Emergency Medicine
- PECOS Enrolled
About PRIYA PATEL
This page provides the complete NPI Profile along with additional information for Priya Patel, a provider established in Toledo, Ohio with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1316793607 assigned on April 2024. The practitioner's primary taxonomy code is 207P00000X with license number 57.256366 (OH). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1316793607
- Provider Name
- PRIYA PATEL
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2213 CHERRY ST TOLEDO, OH 43608
- Location Phone
- (419) 251-3232
- Mailing Address
- 1556 YELLOWSTONE DR STREAMWOOD, IL 60107
- Mailing Phone
- (989) 533-8011
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-26-2024
- Last Update Date
- 04-26-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 57.256366
- License State
- OH
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Medicare Participation & PECOS Enrollment Status
Priya Patel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 43608 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 7 | 9 | 3 | 6 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 14 | 9 | 6 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 1 + 4 + 9 + 6 + 6 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1316793607 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1528061231 | DR. GARY L MOORMAN DO Individual | Emergency Medicine | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-4204 |
| 1760485064 | DR. GERALD WAYNE MARSA M.D. Individual | Radiology (Radiation Oncology) | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-4572 |
| 1669477428 | DAVID E HOOVER MD Individual | Radiology (Diagnostic Radiology) | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-4340 |
| 1609871102 | MS. SUE MAJOR PARKINS M.D. Individual | Emergency Medicine | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-4634 |
| 1700882826 | DR. HELEN DIEHL GUTIERREZ PHARM.D. Individual | Pharmacist | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-2544 |
| 1588660179 | ANOAR ZACHARIAS MD Individual | Surgery (Vascular Surgery) | 2213 CHERRY ST # 309 TOLEDO, OH 43608 (419) 251-4364 |
| 1902805633 | DAMODAR REDDY MD Individual | Anesthesiology | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-3232 |
| 1821097874 | AJITH PAI MD Individual | Anesthesiology | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-3232 |
| 1194724138 | CELSO ANTIPORDA MD Individual | Anesthesiology | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-3232 |
| 1205835253 | DR. AHMED M ELTAKI MD Individual | Anesthesiology | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-3232 |
| 1811998560 | LUCAS COUNTY EMERGENCY PHYSICIANS INC Organization | Emergency Medicine | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-3232 |
| 1851393557 | DR. DON ALAN BERLEKAMP PHARMD, BCPS Individual | Pharmacist (Pharmacotherapy) | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-4216 |
| 1467454827 | DR. PAUL M CLARK M.D. Individual | Surgery (Vascular Surgery) | 2213 CHERRY ST #303 ACC TOLEDO, OH 43608 (419) 251-3112 |
| 1083608046 | KAREN A. ROHRS CNNP Individual | Nurse Practitioner (Neonatal) | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-4360 |
| 1669468187 | USHA GUPTA MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-4336 |
| 1194711200 | ROBERTA S HARDING CNNP Individual | Nurse Practitioner (Neonatal) | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-4360 |
| 1376529685 | CRYSTAL HILL MD Individual | Anesthesiology | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-3232 |
| 1376520882 | DR. MICHAEL C PLEWA MD Individual | Emergency Medicine | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-4204 |
| 1497732531 | DR. MICHAEL RIETHMILLER MD Individual | Preventive Medicine (Occupational Medicine) | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-3679 |
| 1497733935 | MARK REARDON MD Individual | Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine) | 2213 CHERRY ST TOLEDO, OH 43608 (419) 251-4364 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316793607, enumerated in the NPI registry as an "individual" on April 26, 2024
The provider is located at 2213 Cherry St Toledo, Oh 43608 and the phone number is (419) 251-3232
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.72 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 26, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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