Active NPI
Mrunal Gunvant Patel, M.D.
- Pulmonary Disease Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 01078568A
- Practice address
- 2160 S 1St Ave
Room 106
Maywood, IL 60153-3328 - Phone
- (708) 216-5402
- Fax
- (708) 216-6839
- NPI assigned
- Mar 26, 2011
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036133917 | IL | |
| Internal Medicine Physician | 207R00000X | 01078568A | IN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036133917 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 036133917 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 01078568A | IN | Primary |
Addresses
Primary practice location
2160 S 1St Ave
Room 106
Maywood, IL 60153-3328
Mailing address
250 N Shadeland Ave Ste 200
Indianapolis, IN 46219-4959
Phone (317) 962-3834
Other practice location 1
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
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, 2011
- 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
Hospital & facility affiliations
- Indiana University Health
- Union Hospital Inc
- Parkview Regional Medical Center
- Indiana University Health Tipton Hospital Inc
- Indiana University Health Ball Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Indiana Clinic Critical Care LLC | Internal Medicine | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
2574 Reliable Pkwy
Chicago, IL 60686
1801 Senate Blvd
Ste 230
Indianapolis, IN 46202
Phone (317) 962-5280
1801 Senate Blvd
Ste 2000
Indianapolis, IN 46202
Phone (317) 962-0500
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
Organizations & group practices 3
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
-
- Pulmonary Disease Physician
- Indianapolis, IN
- NPI 1417285230
Internal Medicine
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- Critical Access Hospital
- Tipton, IN
- NPI 1699876094
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
- 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": "1301097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742083200000",
"number": "1396044558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959",
"telephone_number": "317-962-3834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"address_2": "ROOM 106",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-5402",
"fax_number": "708-216-6839"
}
],
"practiceLocations": [
{
"address_1": "1701 N Senate Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021239",
"country_code": "US",
"telephone_number": "888-484-3258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "MRUNAL",
"middle_name": "GUNVANT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-26",
"last_updated": "2025-03-16",
"certification_date": "2025-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036133917",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01078568A",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036133917",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036133917",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": "01078568A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; 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.