Active NPI
Rita R Patel, SLP
- Speech-Language Pathologist
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22005543A
- Practice address
- 200 S Jordan Ave
Department of Speech and Hearing Sciences
Bloomington, IN 47405-7002 - Phone
- (812) 855-3886
- Fax
- (812) 855-5531
- NPI assigned
- Apr 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2372 | WI | |
| Speech-Language Pathologist | 235Z00000X | 22005543A | IN | Primary |
Addresses
Primary practice location
200 S Jordan Ave
Department of Speech and Hearing Sciences
Bloomington, IN 47405-7002
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42800200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- University of Wisconsin School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University | Current | Accepting new patients | |
| Indiana University | Speech-Language Pathologist | Current | Accepting new patients |
| University Otolaryngology Associates, Inc. | Current | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
7631 Solutions Ctr
Chicago, IL 60677
5208 Reliable Pkwy
Chicago, IL 60686
2631 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-5252
11725 Illinois St
Ste 275
Carmel, IN 46032
Phone (317) 688-4864
11725 Illinois St
Carmel, IN 46032
Phone (317) 617-4808
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
355 W 16th St
Ste 3000
Indianapolis, IN 46202
Phone (317) 963-7082
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
355 W 16th St
Indianapolis, IN 46202
Phone (317) 963-7070
Organizations & group practices 6
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
dba IU Health Physicians
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Otolaryngology Physician
- Indianapolis, IN
- NPI 1275563447
-
dba Indiana University School of Dentistry
- General Practice Dentistry
- Indianapolis, IN
- NPI 1689790552
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1275598880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S JORDAN AVE",
"address_2": "DEPARTMENT OF SPEECH AND HEARING SCIENCES",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474057002",
"telephone_number": "812-855-3886",
"fax_number": "812-855-5531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RITA",
"middle_name": "R",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "2372",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22005543A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42800200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.