Individual provider Active NPI

Vishwanath Pattan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Evansville, IN
National Provider Identifier
1770902330
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
01088993A Issued in IN
Practice address
3801 Bellemeade Ave Ste 300
Evansville, IN 47714-0113
Phone
(812) 485-1400
NPI assigned
Apr 10, 2014
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 129650 CA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 10513A WY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 01088993A IN Primary

Addresses

Primary practice location

3801 Bellemeade Ave Ste 300
Evansville, IN 47714-0113

Mailing address

251 Salina Meadows Pkwy Ste 100
Syracuse, NY 13212-4516
Phone (315) 464-2014

Other practice location 1

3229 E Genesee St
Syracuse, NY 13214-2040
Phone (315) 464-5726 ext. 2539

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vishwanath.pattan.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

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
I20230324002511 IN Practitioner - Endocrinology 9335460666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

3801 Bellemeade Ave
Suite 300
Evansville, IN 47714-0113
Phone (812) 485-1400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
129650CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Indiana, LLC CurrentSince Mar 20, 2023 Accepting new patients
St Mary's Medical Group, LLC CurrentSince Jul 6, 2025 Accepting new patients
Privia Medical Group Indiana, LLC Current Accepting new patients
St Mary's Medical Group, LLC CurrentSince Jul 6, 2025 Accepting new patients
St. Mary's Health, Inc Past Accepting new patients

Locations

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

303 S Nappanee St
Elkhart, IN 46514

14020 Old State Rd
Ste C500
Evansville, IN 47725
Phone (812) 485-6030

3801 Bellemeade Ave
Ste 300
Evansville, IN 47714
Phone (812) 471-0944

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

410 Park Pl
#A
Mishawaka, IN 46545
Phone (574) 252-0667

410 Park Pl
#B
Mishawaka, IN 46545
Phone (574) 564-5863

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

Interoperability endpoints

  • Direct secure messaging: vishwanath.pattan.1@7598.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1770902330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 SALINA MEADOWS PKWY STE 100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124516",
            "telephone_number": "315-464-2014",
            "fax_number": "315-464-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140113",
            "telephone_number": "812-485-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3229 E Genesee St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132142040",
            "country_code": "US",
            "telephone_number": "315-464-5726 x2539",
            "fax_number": "315-464-5726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTAN",
        "first_name": "VISHWANATH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "129650",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WY",
            "license": "10513A",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "01088993A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vishwanath.pattan.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "3801 Bellemeade Ave Ste 300",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.