Active NPI
Prabhav Patil, M.D.
- Anesthesiology Physician
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35.122098
- Practice address
- 3622 Belmont Ave
Youngstown, OH 44505-1450 - Phone
- (631) 796-1417
- NPI assigned
- Jun 19, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | MD456783 | PA | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 35.122098 | OH | |
| Anesthesiology Physician | 207L00000X | 35.122098 | OH | Primary |
Addresses
Primary practice location
3622 Belmont Ave
Youngstown, OH 44505-1450
Mailing address
3622 Belmont Ave
Youngstown, OH 44505-1450
Phone (631) 796-1417
Other practice location 1
204 W 26th St
Erie, PA 16508-1806
Phone (814) 864-4755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Anesthesiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
204 W 26TH St
Chest Diseases
Erie, PA 16508-1806
Phone (814) 864-4755
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Medical Education and Research Institute Inc | Current | Accepting new patients |
Locations
155 E State St
Albion, PA 16401
Phone (814) 756-4917
153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081
232 W 25th St
Erie, PA 16544
Phone (814) 452-5337
204 W 26th St
Erie, PA 16508
Phone (814) 454-2401
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Erie, PA
- NPI 1902881477
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1861435042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1356578033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3622 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051450",
"telephone_number": "631-796-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3622 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051450",
"telephone_number": "631-796-1417"
}
],
"practiceLocations": [
{
"address_1": "204 W 26th St",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165081806",
"country_code": "US",
"telephone_number": "814-864-4755",
"fax_number": "814-864-5430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATIL",
"first_name": "PRABHAV",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-19",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "PA",
"license": "MD456783",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "OH",
"license": "35.122098",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35.122098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.