Individual provider Active NPI

Roopesh R Patel, M.D

  • Internal Medicine Physician
  • Evansville, IN
National Provider Identifier
1720196330
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01060098A Issued in IN
Practice address
500 E Walnut St
VA Outpatient Clinic
Evansville, IN 47713-2438
Phone
(812) 465-5656
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01060098A IN Primary

Addresses

Primary practice location

500 E Walnut St
VA Outpatient Clinic
Evansville, IN 47713-2438

Mailing address

3088 Hickory View Dr
3088 Hickoryview Drive
Newburgh, IN 47630-2680
Phone (812) 858-8333

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
I20151103000678 IN Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4486835766

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01060098AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Care Group at Safe Harbor, LLC PastSince Oct 1, 2018 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720196330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3088 HICKORY VIEW DR",
            "address_2": "3088 HICKORYVIEW DRIVE",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302680",
            "telephone_number": "812-858-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E WALNUT ST",
            "address_2": "VA OUTPATIENT CLINIC",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132438",
            "telephone_number": "812-465-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ROOPESH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01060098A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.