Active NPI
Sandeep Patri, M.D
- Hospitalist Physician
- Green Bay, WI
National Provider Identifier
1730592189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 66483-20
- Practice address
- 835 S Van Buren St
Green Bay, WI 54301-3526 - Phone
- (920) 496-4700
- NPI assigned
- Jun 3, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301105025 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301105025 | MI | |
| Hospitalist Physician | 208M00000X | 66483-20 | WI | Primary |
Addresses
Primary practice location
835 S Van Buren St
Green Bay, WI 54301-3526
Mailing address
PO Box 19070
Green Bay, WI 54307-9070
Phone (920) 496-4700
Other practice location 1
1000 Oakland Drive
Kalamazoo, MI 49008-8022
Phone (269) 337-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
921 Gessner Rd
Houston, TX 77024-2501
Phone (731) 242-3000
Hospital & facility affiliations
- Memorial Hermann Memorial City Hospital
- CHI St Lukes Health Memorial Lufkin
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301105025 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Memorial Hermann Health System | Past | Accepting new patients |
Locations
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439
1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Interoperability endpoints
- spatri635721@christushealth.direct-ci.net
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740233782
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Lufkin, TX
- NPI 1396746129
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740233782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1730592189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19070",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543079070",
"telephone_number": "920-496-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 S VAN BUREN ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013526",
"telephone_number": "920-496-4700"
}
],
"practiceLocations": [
{
"address_1": "1000 Oakland Drive",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490088022",
"country_code": "US",
"telephone_number": "269-337-4400",
"fax_number": "269-337-4550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATRI",
"first_name": "SANDEEP",
"name_prefix": "Mr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301105025",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301105025",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "66483-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.