Active NPI
Mukund D Patel, MD
- Cardiovascular Disease Physician
- Anderson, IN
National Provider Identifier
1649218702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01029269
- Practice address
- 1547 Ohio Ave
Anderson, IN 46016-1917 - Phone
- (765) 641-7499
- Fax
- (765) 641-7996
- NPI assigned
- Jun 2, 2006
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 01029269 | IN | Primary |
Addresses
Primary practice location
1547 Ohio Ave
Anderson, IN 46016-1917
Mailing address
PO Box 349
Anderson, IN 46015-0349
Phone (765) 641-7499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000389720 | Other | IN | ANTHEM |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01029269 | IN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Heart Hospital LLC | Cardiovascular Disease | Past | Accepting new patients |
| Anderson Family Medicine, PC | Past | Accepting new patients | |
| Madison County Community Health Centers, Inc. | Past | Accepting new patients | |
| Care Group LLC | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Anderson, IN
- NPI 1467623967
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1649220195
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1104032671
Cardiovascular Disease
-
- Mental Health Counselor
- Anderson, IN
- NPI 1902242647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366070400000",
"number": "1649218702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 349",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460150349",
"telephone_number": "765-641-7499",
"fax_number": "765-641-7996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1547 OHIO AVE",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460161917",
"telephone_number": "765-641-7499",
"fax_number": "765-641-7996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MUKUND",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2013-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01029269",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000389720",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.