Individual provider Active NPI

Vilas J Patil, MD

  • Geriatric Psychiatry Physician
  • Oswego, NY
National Provider Identifier
1417044983
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
173858 Issued in NY
Practice address
74 Bunner St
Oswego, NY 13126-3357
Phone
(315) 343-8162
Fax
(315) 342-2885
NPI assigned
Oct 6, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 173858 NY
Psychiatry Physician 2084P0800X 173858 NY
Child & Adolescent Psychiatry Physician 2084P0804X 173858 NY
Geriatric Psychiatry Physician 2084P0805X 173858 NY Primary

Addresses

Primary practice location

74 Bunner St
Oswego, NY 13126-3357

Mailing address

3634 Whispering Woods Ter
Baldwinsville, NY 13027-8306
Phone (315) 343-8162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210407002871 FL Practitioner - Psychiatry 2668489089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Behavioral Health Center, IncGroup PAC ID 9931187911, 16 clinicians

Practice addresses (Care Compare)

12512 Bruce B Downs Blvd
Tampa, FL 33612-9209
Phone (813) 977-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
173858NYMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Behavioral Health Center, Inc. CurrentSince Feb 8, 2021 Accepting new patients

Locations

12512 Bruce B Downs Blvd
Tampa, FL 33612
Phone (813) 977-8700

Interoperability endpoints

  • Direct secure messaging: humdvjp@hiemail.healtheconnections.org
  • Direct secure messaging: vilas.patilmd@direct.mybaycare.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1417044983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 WHISPERING WOODS TER",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130278306",
            "telephone_number": "315-343-8162",
            "fax_number": "315-342-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BUNNER ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263357",
            "telephone_number": "315-343-8162",
            "fax_number": "315-342-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIL",
        "first_name": "VILAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NY",
            "license": "173858",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "173858",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "173858",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "173858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.