Individual provider Active NPI

Shashikant V Patel, MD

  • Interventional Pain Medicine Physician
  • Uniontown, PA
National Provider Identifier
1275507584
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD-064257-L Issued in PA
Practice address
25 Highland Park Dr
Suite 201
Uniontown, PA 15401-8402
Phone
(724) 437-4676
NPI assigned
Feb 14, 2006
Last updated
Mar 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X MD-064257-L PA Primary

Addresses

Primary practice location

25 Highland Park Dr
Suite 201
Uniontown, PA 15401-8402

Mailing address

1477 Dominion HTS
Pittsburgh, PA 15241-3137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-064257-LPAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Tree Pain Clinic PC Interventional Pain Medicine PastSince Jan 1, 1990 Accepting new patients
Tri-State Health Care Associates PC PastSince Nov 3, 2003 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1275507584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 DOMINION HTS",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND PARK DR",
            "address_2": "SUITE 201",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018402",
            "telephone_number": "724-437-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHASHIKANT",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD-064257-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.