Individual provider Active NPI

Saurabh Patel, PT

  • Physical Therapist
  • Michigan City, IN
National Provider Identifier
1265866792
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016295 Issued in MI
Practice address
3710 Franklin St
Michigan City, IN 46360-7311
Phone
(219) 561-0828
Fax
(833) 977-1355
NPI assigned
Sep 3, 2013
Reactivated
Feb 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501016295 MI Primary

Addresses

Primary practice location

3710 Franklin St
Michigan City, IN 46360-7311

Mailing address

3710 Franklin St
Michigan City, IN 46360-7311
Phone (219) 561-0828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170509001167 IN Practitioner - Physical Therapist in Private Practice 6507092319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RS Physical Therapy CoGroup PAC ID 2668803107, 3 clinicians

Practice addresses (Care Compare)

3710 Franklin St
Michigan City, IN 46360-7311
Phone (219) 561-0828

Merit-based Incentive Payment System (MIPS)

Final score
81.12 of 100Reported as individual
Quality
74.82
Improvement activities
40
Cost
70.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RS Physical Therapy Co Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Restore Therapy Services LLC Physical Therapist CurrentSince Apr 11, 2017 Accepting new patients
Next Level Therapeutic Services LLP Physical Therapist PastSince Apr 11, 2017 Accepting new patients
Total Health Systems Inc Past Accepting new patients

Locations

6100 Miller Ave
Gary, IN 46403
Phone (219) 427-0196

3710 Franklin St
Michigan City, IN 46360
Phone (219) 561-0828

5959 US Highway 6
Portage, IN 46368
Phone (219) 265-3188

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1265866792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 FRANKLIN ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607311",
            "telephone_number": "219-561-0828",
            "fax_number": "833-977-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 FRANKLIN ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607311",
            "telephone_number": "219-561-0828",
            "fax_number": "833-977-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SAURABH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-03",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "deactivation_date": "2019-12-14",
        "reactivation_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.