NPIMap

Jitendrakumar Sodvadiya

Individual provider Active NPI Family Medicine Physician · Paris, IL

NPI 1194010496 · NPPES record last updated Aug 15, 2014

Key facts

NPI
1194010496
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
036135515 (IL)
Practice address
727 E Court St
Paris, IL 61944-2460
Phone
(217) 465-4141
NPI assigned
Jun 14, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 18

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.

Hospital & facility affiliations 6

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

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital and Medical Foundation of Paris Inc (123 clinicians)

Practice addresses (Care Compare)

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

727 E Court St
Paris, IL 61944-2460
Phone (217) 465-8411

745 E Court St
Paris, IL 61944-2460
Phone (217) 466-4170

Hospital & facility affiliations

  • Horizon Health Home Care Home health agency · Paris, IL · CCN 148408
  • Paris Community Hospital Hospital · Paris, IL · CCN 141320
  • Union Hospital Inc Hospital · Terre Haute, IN · CCN 150023
  • The Haven of Paris Nursing home · Paris, IL · CCN 145469
  • Pleasant Meadows Senior Living Nursing home · Chrisman, IL · CCN 146037

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100 (apm)
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20140929001045 IL Practitioner - Family Practice 1951521822 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6538NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital & Medical Foundation of Paris, Inc. Current
since Aug 1, 2014		 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Family Medicine Current
since Aug 1, 2014		 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Family Medicine Past Accepting new patients

Locations

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: jitendrakumar.sodvadiya.1@11356.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6538 NE
Family Medicine Physician 207Q00000X 036135515 IL Yes

Addresses

Primary practice location

727 E Court St
Paris, IL 61944-2460

Mailing address

727 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 15, 2014.

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1194010496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 E COURT ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442460",
            "telephone_number": "217-465-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E COURT ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442460",
            "telephone_number": "217-465-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODVADIYA",
        "first_name": "JITENDRAKUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "6538",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036135515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, IL

All providers in Paris, IL · Family Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.