Active NPI
Patrick Clark Silveus, MD
- Family Medicine Physician
- Mentone, IN
National Provider Identifier
1487697322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01031184A
- Practice address
- 515 E Main Street
Mentone, IN 46539 - Phone
- (574) 353-7561
- NPI assigned
- Jun 14, 2006
- Last updated
- Aug 28, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01031184A | IN | Primary |
Addresses
Primary practice location
515 E Main Street
Mentone, IN 46539
Mailing address
P.O. Box 996
Warsaw, IN 46580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100157200 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251417600000",
"number": "1487697322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 996",
"city": "WARSAW",
"state": "IN",
"postal_code": "46580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 E MAIN STREET",
"city": "MENTONE",
"state": "IN",
"postal_code": "46539",
"telephone_number": "574-353-7561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVEUS",
"first_name": "PATRICK",
"middle_name": "CLARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2009-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01031184A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100157200",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mentone, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.