Individual provider Active NPI

Parag Ganapati Patil, MD

  • Neurological Surgery Physician
  • Saint Joseph, MO
National Provider Identifier
1629175989
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
2025042674 Issued in MO
Practice address
802 N Riverside Rd Ste 150
Saint Joseph, MO 64507-2508
Phone
(816) 271-4025
Fax
(816) 271-4026
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 2025042674 MO Primary
Neurological Surgery Physician 207T00000X 29737 KY
Neurological Surgery Physician 207T00000X 4301086873 MI

Addresses

Primary practice location

802 N Riverside Rd Ste 150
Saint Joseph, MO 64507-2508

Mailing address

802 N Riverside Rd Ste 150
Saint Joseph, MO 64507-2508
Phone (816) 271-4025

Other practice location 1

225 Abraham Flexner Way Ste 505
Louisville, KY 40202-1896
Phone (502) 588-7600

Other practice location 2

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-7010

Other identifiers 1

IdentifierTypeStateIssuer
4825413MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MO2 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
I20240916000942 KY Practitioner - Neurosurgery 2264447465 Reassigns benefits to 1 organization
I20251224002332 MO Practitioner - Neurosurgery 2264447465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Johns Hopkins University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

225 Abraham Flexner Way
2ND FL
Louisville, KY 40202-1846
Phone (502) 587-4203

802 N Riverside Rd
150 Mosaic Life Care
St Joseph, MO 64057-2508
Phone (816) 271-4025

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29737KYMDEmergency Medicine Physician
4301086873MIMDNeurological Surgery Physician
2025042674MOMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center CurrentSince Dec 8, 2025 Accepting new patients
Northwest Medical Center Association Inc CurrentSince Dec 8, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 23, 2024 Accepting new patients
Mosaic Medical Center - Maryville Neurological Surgery CurrentSince Dec 8, 2025 Accepting new patients
University of Louisville Physicians, Inc. Neurological Surgery Current Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Dec 8, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 23, 2024 Accepting new patients
Northwest Medical Center Association Inc CurrentSince Dec 8, 2025 Accepting new patients
Heartland Regional Medical Center Neurological Surgery CurrentSince Dec 8, 2025 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

225 Abraham Flexner Way
Ste 505
Louisville, KY 40202
Phone (502) 584-4121

225 Abraham Flexner Way
Ste 2
Louisville, KY 40202
Phone (502) 587-4404

705 N College St
Albany, MO 64402
Phone (660) 726-3941

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

802 N Riverside Rd
Ste 150
Saint Joseph, MO 64507
Phone (816) 271-4025

Organizations & group practices 10

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1629175989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N RIVERSIDE RD STE 150",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072508",
            "telephone_number": "816-271-4025",
            "fax_number": "816-271-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N RIVERSIDE RD STE 150",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072508",
            "telephone_number": "816-271-4025",
            "fax_number": "816-271-4026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Abraham Flexner Way Ste 505",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021896",
            "country_code": "US",
            "telephone_number": "502-588-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095000",
            "country_code": "US",
            "telephone_number": "734-936-7010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATIL",
        "first_name": "PARAG",
        "middle_name": "GANAPATI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2025042674",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "29737",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301086873",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4825413",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.