Prabhugouda B Patil, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E4918 Issued in TX

Practice address

509 W Tidwell Rd Ste 160
Houston, TX 77091-4369

Phone

(713) 697-7166

Fax

(713) 697-7606

NPI assigned

Nov 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Life Wave Hospice Care LLC

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1538809017

  Contracted Managing Employee

  CMS ownership
• Suncrest Hospice Care LLC

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1417614314

  Contracted Managing Employee

  CMS ownership
• Viking Hospice Care LLC

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1801553763

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1619157492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W TIDWELL RD STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914369",
            "telephone_number": "713-697-7166",
            "fax_number": "713-697-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W TIDWELL RD STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914369",
            "telephone_number": "713-697-7166",
            "fax_number": "713-697-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIL",
        "first_name": "PRABHUGOUDA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E4918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patients First ER LLC
• Patients Xperts
• Deena Allamanagouda Patil, M.D.,
• Monika Patil, MD
• Ninad Patil, MD
• Sachin Patil, M.D.
• Shobha Patil
• Allison Patin
• Jamie Claire Patin, LCSW
• Stephen Paul Patin, MD, MPH

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.