NPIMap

Individual provider Active NPI

Sudha Mogali Patel, M.D.

  • Psychiatry Physician
  • Irvington, KY
National Provider Identifier
1245488188
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01073852A Issued in IN
Practice address
205 West US 60
Irvington, KY 40146
Phone
(270) 547-7161
Fax
(270) 547-7163
NPI assigned
Sep 4, 2008
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-47299 KS
Psychiatry Physician 2084P0800X 44869 KY
Psychiatry Physician 2084P0800X 2008015642 MO
Psychiatry Physician 2084P0800X 01073852A IN Primary

Addresses

Primary practice location

205 West US 60
Irvington, KY 40146

Mailing address

PO Box 147
205 West US 60
Irvington, KY 40146
Phone (270) 547-7161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IL, IN, KS4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20120606000424 KY Practitioner - Psychiatry 5991969867 Practice locations: Irvington, KY; Carrollton, KY
I20191205000017 IL Practitioner - Psychiatry 5991969867 Practice locations: Salem, IL
I20191211001723 IN Practitioner - Psychiatry 5991969867 Practice locations: Corydon, IN
I20250211002017 KS Practitioner - Psychiatry 5991969867 Practice locations: Hiawatha, KS

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Meharry Medical College School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1141 Hospital Dr N W
Harrison County Hospital
Corydon, IN 47112-2164
Phone (812) 738-4251

1201 Ricker Rd
Salem, IL 62881-4263
Phone (618) 548-3194

205 W US
Suite 60
Irvington, KY 40146-0147
Phone (270) 547-7161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44869KYMDPsychiatry Physician
2008015642MOMDPsychiatry Physician

Interoperability endpoints

  • Direct secure messaging: sudha.patel.1@15020.direct.athenahealth.com
  • Direct secure messaging: sudha.patel.2@21400.direct.athenahealth.com

Hospital & facility affiliations 8

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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1245488188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "address_2": "205 WEST US 60",
            "city": "IRVINGTON",
            "state": "KY",
            "postal_code": "40146",
            "telephone_number": "270-547-7161",
            "fax_number": "270-547-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WEST US 60",
            "city": "IRVINGTON",
            "state": "KY",
            "postal_code": "40146",
            "telephone_number": "270-547-7161",
            "fax_number": "270-547-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUDHA",
        "middle_name": "MOGALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-47299",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "44869",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2008015642",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01073852A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, KY

Sources for this page

Verify at the official NPI Registry.