Pranali Rajendra Patil, B.D.S

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

RES3226 Issued in OH

Practice address

2124 Cornell Road
Cleveland, OH 44106-4905

Phone

(216) 368-3236

NPI assigned

Mar 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1164763272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 CORNELL ROAD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064905",
            "telephone_number": "216-368-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 CORNELL ROAD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064905",
            "telephone_number": "216-368-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIL",
        "first_name": "PRANALI",
        "middle_name": "RAJENDRA",
        "name_prefix": "Dr.",
        "credential": "B.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "RES3226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathology Associates of University Hospitals,Inc
• Pathway Recovery Solutions LLC
• Pathway to Purpose Early Learning Center LLC
• Mrinalini Patil, M.D.
• Pradnya Dinkar Patil, M.D.
• Sachin Suresh Patil
• Sanath Sanjeev Patil
• Sonal Ashutosh Patil, MD
• John Patka
• Patricia B Washington

• Endodontics in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Endodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.