Kaushal Mahipati Patil

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05012721A Issued in IN

Practice address

506 E. Southway Blvd
Kokomo, IN 46902-3820

Phone

(765) 626-0299

Fax

(765) 864-2070

NPI assigned

Jul 29, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.3 of 100Reported as group

Quality

88.48

Improvement activities

40

Cost

72.11

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advanced Physical Therapy, LLC

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1316940505
  Medicare reassignment Care Compare group NPD
• Bounce Back Physical Therapy

  • Physical Therapy Clinic/Center
  • Indianapolis, IN
  • NPI 1225698541

  Physical Therapist

  Medicare reassignment NPD
• Advanced Physical Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
  • NPI 1700595089

  Physical Therapist

  NPD

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1366096315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E. SOUTHWAY BLVD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023820",
            "telephone_number": "765-626-0299",
            "fax_number": "765-864-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIL",
        "first_name": "KAUSHAL",
        "middle_name": "MAHIPATI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012721A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jane Parton, PT
• Matthew D Pate, DDS
• Phillip R Pate, DDS
• Hiral Patel
• Laxeshkumar Bubulal Patel, M.D.
• Brett David Patterson, ATC
• Freda Patterson
• Shirley Patterson
• Addison Delanie Paul
• Cassidy Nichole Paul

• Physical Therapist in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.

Verify at the official NPI Registry.