Individual provider Active NPI

Deepak Jayananda Pattanshetty, MD, MRCP(UK)

  • Interventional Cardiology Physician
  • Columbus, IN
National Provider Identifier
1790017614
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01094590A Issued in IN
Practice address
2325 18TH St Ste 130
Columbus, IN 47201-5387
Phone
(812) 379-2020
NPI assigned
Feb 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 51556 KY
Interventional Cardiology Physician 207RI0011X 01094590A IN Primary

Addresses

Primary practice location

2325 18TH St Ste 130
Columbus, IN 47201-5387

Mailing address

PO Box 775383
Chicago, IL 60677-5383
Phone (812) 376-5315

Other practice location 1

911 Bypass Rd Bldg A
Pikeville, KY 41501-1689
Phone (606) 430-2201

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dpattanshetty21874@PIKEVILLEKYDIRECT.ORG Direct
Direct Messaging Address dpattanshetty55348@edirect.crh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN, AZ4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20171026001465 OH Practitioner - Internal Medicine 8628226453 Reassigns benefits to 1 organization
I20180809005533 KY Practitioner - Interventional Cardiology 8628226453 Reassigns benefits to 1 organization
I20240903000835 IN Practitioner - Cardiovascular Disease (Cardiology) 8628226453 Reassigns benefits to 1 organization
I20241011002558 AZ Practitioner - Cardiovascular Disease (Cardiology) 8628226453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiojost PLLCGroup PAC ID 2062429913, 18 clinicians

Practice addresses (Care Compare)

2325 18TH St
Suite 130
Columbus, IN 47201-5387
Phone (812) 379-2020

7529 E Broadway Rd
Suite 101
Mesa, AZ 85208-2057
Phone (480) 945-4343

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.38 of 100Reported as group
Quality
94.74
Promoting interoperability
99
Improvement activities
40
Cost
70.7

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
81.47
Promoting interoperability
100
Improvement activities
40
Cost
81.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01094590AINMDInterventional Cardiology Physician
51556KYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Columbus Regional Health Physicians, LLC Family Medicine CurrentSince Aug 9, 2024 Accepting new patients
Columbus Regional Health Physicians, LLC Family Medicine CurrentSince Aug 9, 2024 Accepting new patients
Cardiojost, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Pikeville Medical Center Inc. Current Accepting new patients
Pikeville Medical Center Inc CurrentSince Jul 1, 2018 Accepting new patients
Inpatient Medical Services, Inc. Family Medicine CurrentSince Sep 14, 2017 Accepting new patients
Pikeville Medical Center Inc. Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Chan Heart Rhythm Institute PLLC PastSince Sep 29, 2014 Accepting new patients

Locations

410 N Malacate St
Ajo, AZ 85321
Phone (520) 387-5651

750 S Ironwood Dr
Apache Junction, AZ 85120
Phone (480) 982-1265

7529 E Broadway Rd
Bldg 2
Mesa, AZ 85208

7529 E Broadway Rd
Ste 104
Mesa, AZ 85208

3514 N Power Rd
Ste 105
Mesa, AZ 85215
Phone (480) 422-8533

6709 E Southern Ave
Mesa, AZ 85206
Phone (480) 773-2220

7529 E Broadway Rd
Ste 101
Mesa, AZ 85208

5416 E Baseline Rd
Ste 129
Mesa, AZ 85206

117 E Main St
Ste F100
Payson, AZ 85541

1600 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 608-5500

3033 N Windsong Dr
Ste 101
Prescott Valley, AZ 86314
Phone (928) 379-6064

2737 W Baseline Rd
Ste 27
Tempe, AZ 85283

2320 S 22nd Dr
Yuma, AZ 85364
Phone (928) 783-4476

2325 18th St
Ste 130
Columbus, IN 47201
Phone (812) 379-2020

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

4040 Embassy Pkwy
Ste 400
Akron, OH 44333
Phone (330) 576-4295

444 N Main St
Akron, OH 44310
Phone (330) 375-6363

822 Kumho Dr
Ste 202
Fairlawn, OH 44333

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

Interoperability endpoints

  • Direct secure messaging: deepak.pattanshetty.p2@direct.swcva.nextgenshare.com
  • Direct secure messaging: deepak.pattanshetty.p1@direct.swcva.nextgenshare.com
  • Direct secure messaging: dpattanshetty21874@pikevillekydirect.org
  • Direct secure messaging: dpattanshetty24305@direct.metrohealth.org

Organizations & group practices 9

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.

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": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1790017614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775383",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775383",
            "telephone_number": "812-376-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 18TH ST STE 130",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015387",
            "telephone_number": "812-379-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Bypass Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011689",
            "country_code": "US",
            "telephone_number": "606-430-2201",
            "fax_number": "606-218-4651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTANSHETTY",
        "first_name": "DEEPAK",
        "middle_name": "JAYANANDA",
        "credential": "MD, MRCP(UK)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-02",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "51556",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01094590A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpattanshetty21874@PIKEVILLEKYDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "Direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard direct functionality",
            "address_1": "911 Bypass Rd Bldg A",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpattanshetty55348@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct address",
            "address_1": "2325 18th St Ste 130",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472015387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.