Active NPI
Sanjay N Patel, DC
- Chiropractor
- Jeffersonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002231A
- Practice address
- 1802 E 10TH St
Jeffersonville, IN 47130-6016 - Phone
- (812) 288-2488
- Fax
- (812) 288-6603
- NPI assigned
- May 16, 2006
- Last updated
- Mar 25, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5051 | KY | |
| Chiropractor | 111N00000X | 08002231A | IN | Primary |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 08002231A | IN |
Addresses
Primary practice location
1802 E 10TH St
Jeffersonville, IN 47130-6016
Mailing address
2100 Market St Ste 101
Charlestown, IN 47111-9535
Phone (812) 503-5100
Other practice location 1
1804 E 10th St
Jeffersonville, IN 47130-6016
Phone (812) 288-2488
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200882760 | Medicaid | IN | |
| 7100014780 | Medicaid | KY | |
| P00422957 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 Market St
Suite 101
Charlestown, IN 47111-9535
Phone (502) 244-9859
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5051 | KY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Clark Medical Group LLC | Addiction Medicine | Current | Accepting new patients |
| North Clark Urgent Care LLC | Current | Accepting new patients | |
| Essen Chiropractic and Acupuncture, L L C | Chiropractor | Past | Accepting new patients |
| Lowell Family Medical Care PC | Past | Accepting new patients |
Locations
2100 Market St
Ste 101
Charlestown, IN 47111
Phone (812) 503-5100
1410 S Clark Blvd
Clarksville, IN 47129
1720 E 8th St
Jeffersonvlle, IN 47130
Phone (812) 282-5102
1802 E 10th St
Jeffersonvlle, IN 47130
Phone (502) 893-7744
1804 E 10th St
Jeffersonvlle, IN 47130
Phone (502) 553-0810
6823 Highway 311
Sellersburg, IN 47172
Phone (812) 246-6362
202 E Market St
Louisville, KY 40202
645 S Roy Wilkins Ave
#200
Louisville, KY 40203
Phone (502) 561-0520
680 S 4th St
Louisville, KY 40202
Phone (502) 596-6063
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BIGFCA
Organizations & group practices 4
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.
-
- General Practice Physician
- Jeffersonville, IN
- NPI 1376095711
Addiction Medicine, KY
-
- Urgent Care Clinic/Center
- Jeffersonville, IN
- NPI 1376190314
-
- Chiropractor
- Des Peres, MO
- NPI 1578681565
-
- Family Medicine Physician
- Lowell, MA
- NPI 1871720086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1467404772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MARKET ST STE 101",
"city": "CHARLESTOWN",
"state": "IN",
"postal_code": "471119535",
"telephone_number": "812-503-5100",
"fax_number": "770-573-9513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 E 10TH ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471306016",
"telephone_number": "812-288-2488",
"fax_number": "812-288-6603"
}
],
"practiceLocations": [
{
"address_1": "1804 E 10th St",
"address_purpose": "LOCATION",
"city": "Jeffersonville",
"state": "IN",
"postal_code": "471306016",
"country_code": "US",
"telephone_number": "812-288-2488",
"fax_number": "812-288-6603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "SANJAY",
"middle_name": "N",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5051",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002231A",
"primary": true
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "IN",
"license": "08002231A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200882760",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100014780",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00422957",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.