Divyesh Gaju Patel, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

01063311A Issued in IN

Practice address

825 E Lincolnway
Valparaiso, IN 46383-5803

Phone

(219) 464-4891

Fax

(219) 464-1873

NPI assigned

Feb 6, 2007

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in IN, IA2 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 2

Specialty

Diagnostic Radiology

Education

Northeastern Ohio University College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians

Radiologists of North Iowa PCGroup PAC ID 4981592730, 13 clinicians

Radiologic Associates of Northwest Indiana PCGroup PAC ID 5890754469, 11 clinicians

Pulaski Memorial HospitalGroup PAC ID 3173515509, shared by 32 NPIs, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone North Iowa Medical Center Hospital, Mason City, IA, CCN 160064
• Kossuth Regional Health Center Hospital, Algona, IA, CCN 161353
• Northwest Health - Porter Hospital, Valparaiso, IN, CCN 150035
• Hansen Family Hospital Hospital, Iowa Falls, IA, CCN 161380
• Hancock County Health System Hospital, Britt, IA, CCN 161307

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12167/brand/1/csg/1/fhir/r4

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.

• Imaging Associates of Indiana, PC

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1699072611
  Medicare reassignment Care Compare group NPD
• Radiologic Associates of Northwest Indiana, PC

  • Diagnostic Radiology Physician
  • Valparaiso, IN
  • NPI 1235186867
  Medicare reassignment Care Compare group NPD
• Radiologists of North Iowa PC

  • Diagnostic Radiology Physician
  • Mason City, IA
  • NPI 1942252051
  Medicare reassignment Care Compare group NPD
• Lutheran HBP Services, LLC

  • Anesthesiology Physician
  • Bluffton, IN
  • NPI 1417847484

  Diagnostic Radiology

  Medicare reassignment NPD
• Pulaski Memorial Hospital

  • Critical Access Hospital
  • Winamac, IN
  • NPI 1306928213
  Medicare reassignment NPD
• Pulaski Memorial Hospital

  • Rural Health Clinic/Center
  • Winamac, IN
  • NPI 1740403419
  Medicare reassignment NPD
• Vein Associates of Northwest Indiana LLC

  • Clinic/Center
  • Merrillville, IN
  • NPI 1801217856
  Medicare reassignment NPD
• Indiana Regional P E T and Imaging Center, LLC

  • Radiology Clinic/Center
  • Merrillville, IN
  • NPI 1750471470
  NPD
• Pulaski Memorial Hospital

  • Skilled Nursing Facility
  • South Bend, IN
  • NPI 1093750119
  NPD
• Southlake MRI & Diagnostic Center LLC

  • Radiology Clinic/Center
  • Merrillville, IN
  • NPI 1134178148
  NPD
• Radiologists of North Iowa PC

  • Gynecology Physician
  • Mason City, IA
  • NPI 1548093628
  NPD
• Vein Center of Northwest Indiana, LTD

  • Clinic/Center
  • Merrillville, IN
  • NPI 1932317930
  NPD (past)

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

• Porter Hospital LLC

  • General Acute Care Hospital
  • Valparaiso, IN
  • NPI 1215151154
  Care Compare affiliation
• Ellsworth Municipal Hospital

  • Critical Access Hospital
  • Iowa Falls, IA
  • NPI 1831296052
  Care Compare affiliation
• Hancock County Health System

  • Critical Access Hospital
  • Britt, IA
  • NPI 1912938606
  Care Compare affiliation
• Kossuth Regional Health Center

  • Critical Access Hospital
  • Algona, IA
  • NPI 1841361276
  Care Compare affiliation
• Mercy Health Services-Iowa Corp

  • Rural Acute Care Hospital
  • Mason City, IA
  • NPI 1467537886
  Care Compare affiliation

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1821137563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835803",
            "telephone_number": "219-464-4891",
            "fax_number": "219-464-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835803",
            "telephone_number": "219-464-4891",
            "fax_number": "219-464-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DIVYESH",
        "middle_name": "GAJU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301085194",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01063311A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00413508",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah E Parnell, MSW
• Amy Sattler Parsons, MSW LCSW
• Jody Ann Passafume, M.ED,
• Savannah Passananti, RBT
• Brittanie Lee Patel, DDS
• Selena Patel, MD
• Shakumar Patel, MD
• Sunil N Patel, MD
• Mary Patrice Paterson, PTA
• Pathology Consultants Inc

• Diagnostic Radiology Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.