Jagdish Patel, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

01029938A Issued in IN

Practice address

2150 Gettler St Ste 455
Dyer, IN 46311

Phone

(219) 864-1100

Fax

(219) 864-1118

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IN

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

State licenses

Practice roles

Locations

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.

• Illiana Cardiovascular Consultants, LLC

  • Internal Medicine Physician
  • Dyer, IN
  • NPI 1457438848

  Cardiovascular Disease

  Medicare reassignment NPD Authorized official
• Cardio-Pulmonary Associates, P.C.

  • Pulmonary Disease Physician
  • Munster, IN
  • NPI 1790850766
  NPD (past)
• Heart-Lung Health Centers

  • Internal Medicine Physician
  • Munster, IN
  • NPI 1336216662
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1194763375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 GETTLER ST STE 455",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463112381",
            "telephone_number": "219-864-1100",
            "fax_number": "219-864-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 GETTLER ST STE 455",
            "city": "DYER",
            "state": "IN",
            "postal_code": "46311",
            "telephone_number": "219-864-1100",
            "fax_number": "219-864-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAGDISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036056772",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01029938A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "060070689",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000091333",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100322640",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "06070691",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Ramesh Pai, MSPT
• Ritesh Panwar, MD
• Esther K Park, PHARMD
• Sharon Parker, MSW, LCAC
• Katelyn Pass
• Neha Piyush Patel, MD
• Viraj Patel
• Parul G Pathak, MD
• Pathology Consultants Inc
• Paul a Veld OD PLLC

• Cardiovascular Disease Physician in Dyer, IN
• Providers in Dyer, IN by specialty
• Cardiovascular Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.