Active NPI
Vilas J Patil, MD
- Geriatric Psychiatry Physician
- Oswego, NY
National Provider Identifier
1417044983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 173858
- 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, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 173858 | NY | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Behavioral Health Center, Inc. | Current | Accepting new patients |
Locations
12512 Bruce B Downs Blvd
Tampa, FL 33612
Phone (813) 977-8700
Interoperability endpoints
- humdvjp@hiemail.healtheconnections.org
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tampa, FL
- NPI 1669498002
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.