Organization Active NPI

Sanjay Patel, LLC

  • Allergy & Immunology Physician
  • Highland, IN
National Provider Identifier
1437538246
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
01060936 Issued in IN
Legal business name
SANJAY PATEL, LLC
Practice address
9008 Indianapolis Blvd
Highland, IN 46322-2501
Phone
(219) 513-8923
Fax
(219) 513-8941
NPI assigned
May 26, 2015
Last updated
Feb 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Dr. Sanjay C. Patel, MDNPI 1962445528
Title
President
Phone
(219) 805-4244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 01060936 IN Primary

Addresses

Primary practice location

9008 Indianapolis Blvd
Highland, IN 46322-2501

Mailing address

6756 Fieldstone Dr
Burr Ridge, IL 60527-5298
Phone (219) 805-4244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150915001820 IN Part B Supplier - Clinic/Group Practice 6800103425 Receives reassigned benefits from 2 practitioners
Practice locations: Highland, IN

National Provider Directory

National Provider Directory

Locations

9008 Indianapolis Blvd
Highland, IN 46322
Phone (219) 513-8923

1650 45th St
Ste Ab
Munster, IN 46321
Phone (219) 513-8923

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1437538246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6756 FIELDSTONE DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275298",
            "telephone_number": "219-805-4244",
            "fax_number": "219-513-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9008 INDIANAPOLIS BLVD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222501",
            "telephone_number": "219-513-8923",
            "fax_number": "219-513-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY PATEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-805-4244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IN",
            "license": "01060936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.