Shobhana Patodia, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

036054216 Issued in IL

Practice address

1111 Superior Street
Suite 206
Melrose Park, IL 60160

Phone

(708) 338-9387

NPI assigned

Jul 5, 2006

Last updated

Jan 19, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Pain ManagementAlso: Anesthesiology

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HSC Anesthesia Services LLCGroup PAC ID 6406221142, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• HSC Anesthesia Services LLC

  • Anesthesiology Physician
  • Hinsdale, IL
  • NPI 1174239719
  Medicare reassignment Care Compare group NPD
• Shobhana Patodia

  • Non-Pharmacy Dispensing Site
  • Melrose Park, IL
  • NPI 1073173134
  NPD (past) Authorized official
• Lee Jenkins MD SC

  • Surgery Physician
  • Melrose Park, IL
  • NPI 1073551644
  NPD (past)
• West Central Anesthesiology Group LTD

  • Anesthesiology Physician
  • Rosemont, IL
  • NPI 1396785648
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1730110156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST",
            "address_2": "SUITE 206",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "60160",
            "telephone_number": "708-338-9397",
            "fax_number": "708-338-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR STREET",
            "address_2": "SUITE 206",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "60160",
            "telephone_number": "708-338-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATODIA",
        "first_name": "SHOBHANA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036054216",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036054216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054216",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01607050",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "050058531",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neelam Patel
• Shivaniben Patel
• Surendra Patel
• Patient's First Home Care LLC
• Nirmal Patodia, MD
• Melvyn Payton Jr.
• PCC Community Wellness Center (PCC Melrose Park Family Health Center)
• Terri L. Pearson, MA
• Bradley M. Pechter, M.D.
• Pediatric and Adolescent Gastroenterology Group Inc

• Interventional Pain Medicine Physician in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Interventional Pain Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.