Active NPI
Patrick J Sheets, M.D.
- Family Medicine Physician
- Rensselaer, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01054176
- Practice address
- 123 S McKinley Ave
Rensselaer, IN 47978-2949 - Phone
- (219) 866-1890
- Fax
- (219) 866-1871
- NPI assigned
- Mar 20, 2006
- Last updated
- Jul 6, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01054176 | IN | Primary |
Addresses
Primary practice location
123 S McKinley Ave
Rensselaer, IN 47978-2949
Mailing address
123 S McKinley Ave
Rensselaer, IN 47978-2949
Phone (219) 866-1890
Other practice location 1
565 S Countryside Lane
Monticello, IN 47960
Phone (574) 583-0353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200502790A | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01054176 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Healthcare, LLC | Family Medicine | Current | Accepting new patients |
| Jasper County Hospital | Past | Accepting new patients | |
| Vein Associates of Northwest Indiana LLC | Past | Accepting new patients | |
| Jasper County Hospital | Past | Accepting new patients | |
| Jasper County Hospital | Past | Accepting new patients |
Locations
9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100
8550 Broadway
Merrillville, IN 46410
Phone (219) 736-8888
Interoperability endpoints
- https://api.platform.athenahealth.com/12167/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Wheatfield, IN
- NPI 1063756138
-
- Adult Health Clinical Nurse Specialist
- Rensselaer, IN
- NPI 1508992140
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Rensselaer, IN
- NPI 1134538234
-
dba Lake Orthopedic and Spine
- Multi-Specialty Clinic/Center
- Merrillville, IN
- NPI 1922546530
Family Medicine
-
- Critical Access Hospital
- Rensselaer, IN
- NPI 1336306364
-
- Critical Access Hospital
- Rensselaer, IN
- NPI 1871750802
-
dba Jasper County Hospital DeMotte Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Demotte, IN
- NPI 1982930483
-
- Clinic/Center
- Merrillville, IN
- NPI 1801217856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1396704268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S MCKINLEY AVE",
"city": "RENSSELAER",
"state": "IN",
"postal_code": "479782949",
"telephone_number": "219-866-1890",
"fax_number": "219-866-1871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S MCKINLEY AVE",
"city": "RENSSELAER",
"state": "IN",
"postal_code": "479782949",
"telephone_number": "219-866-1890",
"fax_number": "219-866-1871"
}
],
"practiceLocations": [
{
"address_1": "565 S Countryside Lane",
"address_purpose": "LOCATION",
"city": "Monticello",
"state": "IN",
"postal_code": "47960",
"country_code": "US",
"telephone_number": "574-583-0353",
"fax_number": "574-583-0040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEETS",
"first_name": "PATRICK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01054176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200502790A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rensselaer, IN
- Ryan and Ryan
- Jeffrey Edward Sampson, PT
- Kristina M Schoon, PTA
- Sharon a Johnson FNP LLC (Clinic of Family Medicine)
- Sheets Family Practice P.C. Inc.
- Stephanie Ann Shields, LCSW
- Denise A Snyder, LMHC
- Sonus-USA, Inc.
- Stephen Charles Spicer, M.D.
- St. Francis Hospital and Health Centers (Indiana Oncology Hematology Consultants)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.