Individual provider Active NPI

Sachin Patil, M.D.

  • Radiation Oncology Physician
  • Houston, TX
National Provider Identifier
1881899730
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
P7183 Issued in TX
Practice address
4223 Richmond Ave
Houston, TX 77027-6856
Phone
(713) 351-0630
NPI assigned
Jun 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X P7183 TX Primary

Addresses

Primary practice location

4223 Richmond Ave
Houston, TX 77027-6856

Mailing address

4223 Richmond Ave
Houston, TX 77027-6856
Phone (713) 351-0630

Other names 1

  • Dr. Sachin Shyam Patil Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20130814000897 TX Practitioner - Radiation Oncology 9830336585 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P7183TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Metro Urology CurrentSince Sep 2, 2013 Accepting new patients

Locations

4223 Richmond Ave
Houston, TX 77027
Phone (713) 351-0630

6560 Fannin St
Ste 1440
Houston, TX 77030
Phone (713) 523-7843

10970 Shadow Creek Pkwy
#25
Pearland, TX 77584
Phone (713) 634-4470

Interoperability endpoints

  • Direct secure messaging: sachin.patil.1@15454.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1881899730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276856",
            "telephone_number": "713-351-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4223 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276856",
            "telephone_number": "713-351-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIL",
        "first_name": "SACHIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "P7183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SACHIN",
            "last_name": "PATIL",
            "middle_name": "SHYAM",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.