Ishvar B Pattanshetti, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MI4301056915 Issued in MI

Practice address

2979 Victoria St
VA Clinic
Bettendorf, IA 52722

Phone

(563) 332-8528

Fax

(563) 332-9331

NPI assigned

Sep 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861583064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 VICTORIA ST",
            "address_2": "VA CLINIC",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "52722",
            "telephone_number": "563-332-8528",
            "fax_number": "563-332-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 VICTORIA ST",
            "address_2": "VA CLINIC",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "52722",
            "telephone_number": "563-332-8528",
            "fax_number": "563-332-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTANSHETTI",
        "first_name": "ISHVAR",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "MI4301056915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea M Papa, RN
• Alex Parker
• Passport Health Holdings, LLC (Passport Heath)
• David Lee Patch, DC
• Payal T Patel, FNP
• Paul R Black DDS PC
• Rachel Paulsen, DPT
• Laura Paxton
• Lori Ann Pedersen, LISW, MAPC
• Sunita Kammila Penmatcha, M.D.

• Internal Medicine Physician in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.