Individual provider Active NPI

Tejas C Patel, MD

  • Psychiatry Physician
  • Evansville, IN
National Provider Identifier
1780097386
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01076373A Issued in IN
Practice address
7200 E Indiana St
Evansville, IN 47715-2753
Phone
(812) 476-7200
Fax
(812) 471-4514
NPI assigned
Jun 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 01076373A IN Primary

Addresses

Primary practice location

7200 E Indiana St
Evansville, IN 47715-2753

Mailing address

PO Box 1230
Evansville, IN 47706-1230
Phone (812) 476-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160627001666 IN Practitioner - Psychiatry 2769773472 Reassigns benefits to 2 organizations
I20230130002140 KY Practitioner - Psychiatry 2769773472 Reassigns benefits to 1 organization
I20230817001813 IL Practitioner - Psychiatry 2769773472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wabash General Hospital DistrictGroup PAC ID 8022908185, 77 clinicians

Practice addresses (Care Compare)

1418 College Dr
Mount Carmel, IL 62863-2638
Phone (618) 262-8621

1430 College Dr
Suite B
Mount Carmel, IL 62863-2649
Phone (618) 263-6190

1527 College Dr
Mount Carmel, IL 62863-2615
Phone (618) 263-6400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01076373AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wabash General Hospital District CurrentSince Aug 1, 2023 Accepting new patients
Wabash General Hospital District CurrentSince Aug 1, 2023 Accepting new patients
Deaconess Hospital Inc Psychiatry CurrentSince Jul 11, 2016 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Deaconess Hospital, Inc. Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
Brentwood Meadows Physician Group LLC Psychiatry CurrentSince Jun 1, 2022 Accepting new patients
Deaconess Hospital, Inc Psychiatry CurrentSince Jul 11, 2016 Accepting new patients

Locations

1123 Chestnut St
Mount Carmel, IL 62863
Phone (618) 263-4376

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

7200 E Indiana St
Evansville, IN 47715
Phone (812) 476-7200

4488 Roslin Rd
Newburgh, IN 47630
Phone (812) 710-4038

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

340 Starlite Dr
Henderson, KY 42420
Phone (270) 212-3070

Organizations & group practices 8

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1780097386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061230",
            "telephone_number": "812-476-7200",
            "fax_number": "812-471-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 E INDIANA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152753",
            "telephone_number": "812-476-7200",
            "fax_number": "812-471-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TEJAS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01076373A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.