Individual provider Active NPI

Shantilal S Patel, M.D.

  • Cardiovascular Disease Physician
  • Terre Haute, IN
National Provider Identifier
1578672622
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01032912A Issued in IN
Practice address
1429 N 6TH St
Terre Haute, IN 47807-1037
Phone
(812) 242-3175
Fax
(812) 242-3543
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01032912A IN Primary
Cardiovascular Disease Physician 207RC0000X 36065647 IL

Addresses

Primary practice location

1429 N 6TH St
Terre Haute, IN 47807-1037

Mailing address

221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 242-3175

Other identifiers 6

IdentifierTypeStateIssuer
000000089599OtherANTHEM
060002293OtherRAILROAD MCARE PALAMETTO
100251290MedicaidIN
110044264OtherINRAILROAD MEDICARE
P00209796OtherINRAILROAD MEDICARE
P00844278OtherINRAILROAD MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406001365 IN Practitioner - Cardiovascular Disease (Cardiology) 7719880160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1429 No 6TH St
Uap Medical Office Building
Terre Haute, IN 47807-1037
Phone (812) 232-0564

1606 N 7TH St
Terre Haute, IN 47804-2706

1606 No 7TH St
Union Hospital Inc
Terre Haute, IN 47804-2706
Phone (812) 238-7000

221 S 6 TH St
Apands Clinic Downtown
Terre Haute, IN 47807-4214
Phone (812) 232-0564

221 S 6TH St
Terre Haute, IN 47807-4214

801 S Main St
Clinton, IN 47842-2261
Phone (765) 832-1234

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting37
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36065647ILMDCardiovascular Disease Physician
01032912AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital, Inc. CurrentSince Sep 1, 1971 Accepting new patients
Union Hospital, Inc. Cardiovascular Disease CurrentSince Sep 1, 1971 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Jan 1, 2010 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince Jan 1, 2010 Accepting new patients

Locations

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

1214 E National Ave
Ste 110
Brazil, IN 47834
Phone (812) 232-3900

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

1725 N 5th St
Terre Haute, IN 47804
Phone (812) 232-6646

4601 S 7th St
Terre Haute, IN 47802
Phone (812) 232-3281

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

Interoperability endpoints

  • Direct secure messaging: spatel@unionhealth.cernerdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1578672622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074214",
            "telephone_number": "812-242-3175",
            "fax_number": "812-242-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 N 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071037",
            "telephone_number": "812-242-3175",
            "fax_number": "812-242-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHANTILAL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01032912A",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "36065647",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000089599",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE PALAMETTO",
            "identifier": "060002293",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251290",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110044264",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00209796",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00844278",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.