Shashank Nagaraj Patil, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ML61293427 Issued in WA

Practice address

263 Farmington Avenue
Uconn Health, Department of Surgery
Farmington, CT 06030-8232

Phone

(860) 679-4617

NPI assigned

Mar 22, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1003565375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "address_2": "DEPARTMENT OF SURGERY",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308232",
            "telephone_number": "860-679-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "address_2": "UCONN HEALTH, DEPARTMENT OF SURGERY",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308232",
            "telephone_number": "860-679-4617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE Pacific St Box #356410",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981950001",
            "country_code": "US",
            "telephone_number": "206-543-3654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATIL",
        "first_name": "SHASHANK",
        "middle_name": "NAGARAJ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "ML61293427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaishvik Kulin Patel, M.D.
• Vishal Patel, MD, MSC
• Vishal Patel, MD, MBA
• Shobhana Pathani, MD
• Anusha Patil, MD
• David Patrick, MD
• Stephanie S Paul, L.C.S.W.
• Sophy Paulino, MD
• Jean-Gilbert A Paulo, DMD
• Rekha Pawar

• Neurological Surgery Physician in Farmington, CT
• Providers in Farmington, CT by specialty
• Neurological Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.