Individual provider Active NPI

Sanjay N Patel, DC

  • Chiropractor
  • Jeffersonville, IN
National Provider Identifier
1467404772
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002231A Issued in IN
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200882760MedicaidIN
7100014780MedicaidKY
P00422957OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070227000543 IN Practitioner - Chiropractic 0446352140 Reassigns benefits to 1 organization
I20070827000524 KY Practitioner - Chiropractic 0446352140 Reassigns benefits to 1 organization

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
North Clark Medical Group LLCGroup PAC ID 3971879354, 21 clinicians

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

LicenseStateTypeSpecialty
5051KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
North Clark Medical Group LLC Addiction Medicine CurrentSince Dec 18, 2017 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.