Individual provider Active NPI

Chittaranjan Ambalal Patel, MD

  • Internal Medicine Physician
  • Whiting, IN
National Provider Identifier
1477660801
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01039547A Issued in IN
Practice address
2075 Indianapolis Blvd
Whiting, IN 46394-1948
Phone
(219) 659-7000
Fax
(219) 659-9018
NPI assigned
Aug 23, 2006
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01039547A IN Primary

Addresses

Primary practice location

2075 Indianapolis Blvd
Whiting, IN 46394-1948

Mailing address

2075 Indianapolis Blvd
Whiting, IN 46394-1948
Phone (219) 659-7000

Other practice location 1

14544 John Humphrey Dr
Orland Park, IL 60462-2640
Phone (219) 659-7000

Other identifiers 3

IdentifierTypeStateIssuer
100375920AMedicaidIN
036083269MedicaidIL
31604085OtherILBCBS PROVIDER NO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address whitingmedicalcenter@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101012001024 IN Practitioner - Internal Medicine 0143355222 Reassigns benefits to 1 organization
I20110302000047 IL Practitioner - Internal Medicine 0143355222 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Whiting Medical Center S CGroup PAC ID 1456486539, 2 clinicians

Practice addresses (Care Compare)

2075 Indianapolis Blvd
Whiting, IN 46394-1948
Phone (219) 659-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as individual
Quality
68.43
Improvement activities
40
Cost
80.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01039547AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whiting Medical Center S C CurrentSince Jan 1, 1990 Accepting new patients
Prime Cardiac Association P C PastSince Jun 27, 2021 Accepting new patients

Locations

2075 Indianapolis Blvd
Whiting, IN 46394
Phone (219) 659-7000

Interoperability endpoints

  • Direct secure messaging: cpatel64049@direct.franciscanalliance.org
  • Direct secure messaging: whitingmedicalcenter@direct.practicefusion.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1477660801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 INDIANAPOLIS BLVD",
            "city": "WHITING",
            "state": "IN",
            "postal_code": "463941948",
            "telephone_number": "219-659-7000",
            "fax_number": "219-659-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 INDIANAPOLIS BLVD",
            "city": "WHITING",
            "state": "IN",
            "postal_code": "463941948",
            "telephone_number": "219-659-7000",
            "fax_number": "219-659-9018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14544 John Humphrey Dr",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604622640",
            "country_code": "US",
            "telephone_number": "219-659-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHITTARANJAN",
        "middle_name": "AMBALAL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01039547A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100375920A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083269",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NO",
            "identifier": "31604085",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whitingmedicalcenter@direct.practicefusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2075 Indianapolis Blvd",
            "city": "Whiting",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463941948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whiting, IN

Sources for this page

Verify at the official NPI Registry.