Mahindra D. Patel, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036062415 Issued in IL

Practice address

210 N Main St
Homer, IL 61849-1027

Phone

(217) 896-2491

NPI assigned

Feb 8, 2006

Last updated

Mar 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Mahindra Patel, M.D. LTD

  • Internal Medicine Physician
  • Homer, IL
  • NPI 1528283116
  Authorized official Same address or phone
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1841263258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N MAIN ST",
            "city": "HOMER",
            "state": "IL",
            "postal_code": "618491027",
            "telephone_number": "217-896-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N MAIN ST",
            "city": "HOMER",
            "state": "IL",
            "postal_code": "618491027",
            "telephone_number": "217-896-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAHINDRA",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036062415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "036062415",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LIC",
            "identifier": "036062415",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heritage Cusd 8
• Santana Koebele, ED.S., NCSP
• Mahindra Patel, M.D. LTD
• Angela Marie McCarty, COTA
• Kathryn Mitrou, COTA/L
• Roxy's House at Blue Heron Ranch
• Pamela K. Tate, M.S.

• Internal Medicine Physician in Homer, IL
• Providers in Homer, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.