Active NPI
Kantilal S. Patel, M.D.
- Internal Medicine Physician
- East Chicago, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01043474
- Practice address
- 525 W Chicago Ave
East Chicago, IN 46312-3206 - Phone
- (219) 397-1342
- Fax
- (219) 397-2580
- NPI assigned
- Dec 1, 2006
- Last updated
- Nov 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01043474 | IN | Primary |
Addresses
Primary practice location
525 W Chicago Ave
East Chicago, IN 46312-3206
Mailing address
525 527 W. Chicago Avenue
East Chicago, IN 46312-3206
Phone (219) 397-1342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200535900A | Medicaid | IN |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4321 Fir St
East Chicago, IN 46312-3049
Phone (219) 392-7005
503 Otis Bowen Dr
Munster, IN 46321-4158
Phone (219) 934-0750
901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 836-4563
9130 Columbia Ave
Munster, IN 46321-2932
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01043474 | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Internal Medicine | Current | Accepting new patients |
| Northwest Home Health Care, Inc. | Past | Accepting new patients |
Locations
100 W Chicago Ave
Ste F
East Chicago, IN 46312
Phone (219) 392-7016
4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700
4321 Fir St
Fl 4
East Chicago, IN 46312
Phone (219) 364-3811
525 W Chicago Ave
Ste 527
East Chicago, IN 46312
Phone (219) 387-1342
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
503 Otis Bowen Dr
Munster, IN 46321
Phone (219) 934-0590
901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
3630 Willowcreek Rd
Fl 3
Portage, IN 46368
Phone (219) 364-3800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
Internal Medicine
-
- Internal Medicine Physician
- East Chicago, IN
- NPI 1235325085
-
- Primary Care Clinic/Center
- East Chicago, IN
- NPI 1528393147
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Munster, IN
- NPI 1780754689
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- Long Term Care Hospital
- East Chicago, IN
- NPI 1063414886
Long-term care hospital
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
-
dba Home Health of St Mary Medical Center
- Home Health Agency
- Hobart, IN
- NPI 1528160736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1316015944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 527 W. CHICAGO AVENUE",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123206",
"telephone_number": "219-397-1342",
"fax_number": "219-397-2580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 W CHICAGO AVE",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123206",
"telephone_number": "219-397-1342",
"fax_number": "219-397-2580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KANTILAL",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01043474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200535900A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Chicago, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.
- 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.