Active NPI
Divyesh Purohit, MD
- Internal Medicine Physician
- Shelburn, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01045492A
- Practice address
- 557 W Broadway
Shelburn, IN 47879 - Phone
- (812) 234-6053
- Fax
- (812) 478-3416
- NPI assigned
- Jan 18, 2006
- Last updated
- May 12, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01045492A | IN | Primary |
| General Practice Physician | 208D00000X | 01045492A | IN |
Addresses
Primary practice location
557 W Broadway
Shelburn, IN 47879
Mailing address
3991 Golf Bag LN
Terre Haute, IN 47802-8145
Phone (812) 299-3261
Other practice location 1
1005 S 3rd St
Dugger, IN 47848-5011
Phone (812) 648-2231
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000205869 | Other | BLUE COSS PROVIDER # | |
| 200111590 | 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
- Emergency Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3901 S 7TH St
Terre Haute, IN 47802-5709
Phone (812) 232-0021
557 W Broadway St
Shelburn, IN 47879-1232
Phone (812) 397-2440
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01045492A | IN | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Concord Medical Group of Kentucky PLLC | Current | Accepting new patients | |
| Union Hospital Inc. | Current | Accepting new patients | |
| Sullivan County Internal Medicine LLC | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Current | Accepting new patients |
Locations
618 W Glenburn Rd
Linton, IN 47441
Phone (812) 847-2221
557 W Broadway St
Shelburn, IN 47879
Phone (812) 232-8716
2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021
1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000
4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000
Interoperability endpoints
- divyesh.purohit@shelburnclinic.eclinicaldirectplus.com
- dpurohit@unionhealth.cernerdirect.com
- https://fhir4.healow.com/fhir/r4/GHHGBD
- https://fhir4.healow.com/fhir/r4/GHHGBD/Endpoint/GHHGBD
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Shelburn, IN
- NPI 1871058529
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1871178368
-
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1346746385
IN
-
dba Springhill Medical Center
- Critical Care Medicine (Internal Medicine) Physician
- Terre Haute, IN
- NPI 1326152984
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1982424867
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Elara Caring
- Home Health Agency
- Kokomo, IN
- NPI 1346255940
-
- Critical Access Hospital
- Linton, IN
- NPI 1184695389
-
- Home Health Agency
- Avon, IN
- NPI 1225152960
-
dba The Waters of Sullivan Skilled Nursing Facility
- Skilled Nursing Facility
- Sullivan, IN
- NPI 1003838194
Nursing home
-
- Critical Access Hospital Clinic/Center
- Sullivan, IN
- NPI 1487450698
-
- Critical Access Hospital
- Sullivan, IN
- NPI 1497759260
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1821859752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1326028309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3991 GOLF BAG LN",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478028145",
"telephone_number": "812-299-3261",
"fax_number": "812-316-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 W BROADWAY",
"city": "SHELBURN",
"state": "IN",
"postal_code": "47879",
"telephone_number": "812-234-6053",
"fax_number": "812-478-3416"
}
],
"practiceLocations": [
{
"address_1": "1005 S 3rd St",
"address_purpose": "LOCATION",
"city": "Dugger",
"state": "IN",
"postal_code": "478485011",
"country_code": "US",
"telephone_number": "812-648-2231",
"fax_number": "812-648-2968",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUROHIT",
"first_name": "DIVYESH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01045492A",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01045492A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE COSS PROVIDER #",
"identifier": "000000205869",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200111590",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelburn, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.