Individual provider Active NPI

Sachin Patil, MD

  • Surgery Physician
  • Champaign, IL
National Provider Identifier
1821355363
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036166916 Issued in IL
Practice address
3105 Fields South Dr
Champaign, IL 61822-3743
Phone
(217) 383-3240
Fax
(217) 383-4597
NPI assigned
Apr 23, 2012
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036166916 IL Primary
Surgery Physician 208600000X 4301110434 MI

Addresses

Primary practice location

3105 Fields South Dr
Champaign, IL 61822-3743

Mailing address

611 W Park St
Fapc
Urbana, IL 61801-2501
Phone (217) 838-3311

Other practice location 1

1002 Jefferson St
Suite 400
Laurel, MS 39440-4306
Phone (601) 649-7802

Other practice location 2

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 986-2377

Other practice location 3

1890 Silver Cross Blvd Ste 410
New Lenox, IL 60451-9547
Phone (815) 717-8730 ext. 100

Other practice location 4

22250 Providence Dr Ste 206
Southfield, MI 48075-6210
Phone (248) 662-4333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL2 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

Enrollment IDStateProvider typePAC IDDetails
I20210106001522 MI Practitioner - General Surgery 5799051256 Reassigns benefits to 1 organization
I20231215002943 IL Practitioner - General Surgery 5799051256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

3103 Fields S Dr
Champaign, IL 61822-3743
Phone (217) 902-2300

516 W Madison St
Danville, IL 61832-5657

611 W Park St
Urbana, IL 61801-2500

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group Surgery CurrentSince Oct 7, 2020 Accepting new patients
South Central Clinics, Inc Surgery CurrentSince Jan 1, 2020 Accepting new patients
Progressive Surgical Associates SC Surgery CurrentSince Jan 1, 2024 Accepting new patients
Carle Health Medical Group CurrentSince May 22, 2025 Accepting new patients
South Central Cinics, Inc CurrentSince Aug 27, 2023 Accepting new patients
Henry Ford Semi Medical Group Current Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

Dept 5932
Carol Stream, IL 60122

3105 Fields South Dr
Champaign, IL 61822
Phone (217) 902-3277

1890 Silver Cross Blvd
Ste 410
New Lenox, IL 60451
Phone (815) 717-8730

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

4014 River Rd
Ste B
East China, MI 48054
Phone (586) 580-3062

8235 Holly Rd
Ste 1
Grand Blanc, MI 48439
Phone (810) 694-9110

22201 Moross Rd
Ste 252
Grosse Pointe, MI 48236
Phone (313) 343-4411

26850 Providence Pkwy
Ste 504
Novi, MI 48374
Phone (248) 559-5115

26850 Providence Pkwy
Ste 520
Novi, MI 48374
Phone (248) 465-3790

22250 Providence Dr
Ste 206
Southfield, MI 48075
Phone (248) 569-0288

30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848

1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553

1007 Jefferson St
Laurel, MS 39440
Phone (601) 425-7522

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHDHAA
  • Direct secure messaging: spatilmd452391@carlehiedirect.net

Organizations & group practices 7

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 3

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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1821355363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "address_2": "FAPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012501",
            "telephone_number": "217-838-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 FIELDS SOUTH DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618223743",
            "telephone_number": "217-383-3240",
            "fax_number": "217-383-4597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 Jefferson St",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MS",
            "postal_code": "394404306",
            "country_code": "US",
            "telephone_number": "601-649-7802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94 Old Short Hills Rd",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070395672",
            "country_code": "US",
            "telephone_number": "973-986-2377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1890 Silver Cross Blvd Ste 410",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604519547",
            "country_code": "US",
            "telephone_number": "815-717-8730 x100",
            "fax_number": "815-717-8729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22250 Providence Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480756210",
            "country_code": "US",
            "telephone_number": "248-662-4333",
            "fax_number": "248-662-3022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATIL",
        "first_name": "SACHIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036166916",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301110434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.