Individual provider Active NPI

Mitesh J Patel, MD

  • Anesthesiology Physician
  • Indianapolis, IN
National Provider Identifier
1073527123
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01088974A Issued in IN
Practice address
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone
(317) 577-4200
Fax
(317) 577-9503
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X L7516 TX
Anesthesiology Physician 207L00000X 01088974A IN Primary

Addresses

Primary practice location

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

17480 Dallas Pkwy
Suite 125
Dallas, TX 75287-7337
Phone (972) 488-8926

Other identifiers 2

IdentifierTypeStateIssuer
Q00452877OtherINRAILROAD PTAN
300069765MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mpatel@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN, IA, MI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040730000731 TX Practitioner - Anesthesiology 7517937006 Reassigns benefits to 4 organizations
I20221121001901 IN Practitioner - Anesthesiology 7517937006 Reassigns benefits to 3 organizations
I20250214000700 IA Practitioner - Anesthesiology 7517937006 Reassigns benefits to 1 organization
I20260115003592 MI Practitioner - Anesthesiology 7517937006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1840 Wealthy St SE
Corewell Health Medical Group West
Grand Rapids, MI 49506-2921
Phone (616) 885-5000

4069 Lake Dr SE
Grand Rapids, MI 49546-8816

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01088974AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Jan 1, 2025 Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Spectrum Health Primary Care Partners Anesthesiology CurrentSince Dec 14, 2025 Accepting new patients
Optima Anesthesia PLLC Anesthesiology CurrentSince Feb 2, 2016 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jan 9, 2023 Accepting new patients
Mercy Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Greater Texas Anesthesia Consultants PLLC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Iu Anesthesiology Associates, LLC Anesthesiology CurrentSince May 1, 2023 Accepting new patients
Matt T. Gubert, PA Anesthesiology PastSince Mar 3, 2024 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

5208 Reliable Pkwy
Chicago, IL 60686

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1130 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-0076

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

8200 Walnut Hill Ln
#D
Dallas, TX 75231
Phone (214) 345-5634

12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

400 Chisholm Pl
Ste 114
Plano, TX 75075
Phone (972) 588-4541

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1073527123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-577-4200",
            "fax_number": "317-577-9503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17480 Dallas Pkwy",
            "address_2": "Suite 125",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752877337",
            "country_code": "US",
            "telephone_number": "972-488-8926",
            "fax_number": "972-881-4390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITESH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L7516",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01088974A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN",
            "identifier": "Q00452877",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300069765",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpatel@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.