Active NPI
Anupam Patil
- Student in an Organized Health Care Education/Training Program
- Munster, IN
National Provider Identifier
1710728530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 2901602097
- Practice address
- 545 Ridge Rd
Munster, IN 46321 - Phone
- (219) 940-5765
- NPI assigned
- Jun 5, 2024
- Reactivated
- Sep 3, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 2901602097 | MI | Primary |
Addresses
Primary practice location
545 Ridge Rd
Munster, IN 46321
Mailing address
545 Ridge Rd
Munster, IN 46321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1710728530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 RIDGE RD",
"city": "MUNSTER",
"state": "IN",
"postal_code": "46321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 RIDGE RD",
"city": "MUNSTER",
"state": "IN",
"postal_code": "46321",
"telephone_number": "219-940-5765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIL",
"first_name": "ANUPAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-05",
"last_updated": "2026-09-03",
"deactivation_date": "2025-01-16",
"reactivation_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "2901602097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.