Active NPI
Sunil N Patel, MD
- Internal Medicine Physician
- Valparaiso, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01039880
- Practice address
- 813 Porter Campus Dr
Valparaiso, IN 46383-0063 - Phone
- (219) 364-3616
- Fax
- (219) 364-3610
- NPI assigned
- Jan 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01039880 | IN | Primary |
Addresses
Primary practice location
813 Porter Campus Dr
Valparaiso, IN 46383-0063
Mailing address
2022 Kelle Dr
Chesterton, IN 46304-8708
Phone (219) 364-3616
Other practice location 1
1140 S Calumet Rd
Ste 2
Chesterton, IN 46304-3283
Phone (219) 926-6717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100319550C | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111117000167 | IN | Practitioner - Internal Medicine | 8921272550 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01039880 | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Physicians of Indiana, PC | Internal Medicine | Current | Accepting new patients |
| Northwest Hospitalist Physicians LLP | Current | Accepting new patients | |
| Northwest Hospitalist Physicians, LLP | Current | Accepting new patients | |
| Porter Physician Services LLC | Internal Medicine | Current | Accepting new patients |
Locations
650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133
2022 Kelle Dr
Chesterton, IN 46304
Phone (219) 364-3616
650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507
1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474
1331 State St
Laporte, IN 46350
Phone (219) 326-2415
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
813 Porter Campus Dr
Valparaiso, IN 46383
Phone (301) 404-4563
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
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 and National Provider Directory roles.
-
- Hospitalist Physician
- Fort Wayne, IN
- NPI 1306576277
IN, Internal Medicine
-
- Emergency Medicine Physician
- Bloomington, IN
- NPI 1023448321
IN
-
- Family Medicine Physician
- Valparaiso, IN
- NPI 1508075680
IN, Internal Medicine
-
- Hospitalist Physician
- La Porte, IN
- NPI 1326415423
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospitalist Physicians of Indiana PC
Practice addresses (Care Compare)
1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701
85 E US Hwy 6
Northwest Porter
Valparaiso, IN 46383-8947
Phone (219) 983-8300
Hospital & facility affiliations
- Northwest Health - Porter
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1467501601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2022 KELLE DR",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463048708",
"telephone_number": "219-364-3616",
"fax_number": "219-364-3610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 PORTER CAMPUS DR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463830063",
"telephone_number": "219-364-3616",
"fax_number": "219-364-3610"
}
],
"practiceLocations": [
{
"address_1": "1140 S Calumet Rd",
"address_2": "Ste 2",
"address_purpose": "LOCATION",
"city": "Chesterton",
"state": "IN",
"postal_code": "463043283",
"country_code": "US",
"telephone_number": "219-926-6717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "SUNIL",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01039880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100319550C",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.