Active NPI
Vijay M. Patil, M.D.
- Surgery Physician
- Danbury, CT
National Provider Identifier
1912943176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 016803
- Practice address
- 46 Federal Rd
Danbury, CT 06810-6129 - Phone
- (203) 743-3877
- Fax
- (203) 743-1100
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 016803 | CT | Primary |
Addresses
Primary practice location
46 Federal Rd
Danbury, CT 06810-6129
Mailing address
3 High Fields Dr
Danbury, CT 06811-3452
Phone (203) 790-7480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1168038 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16803 | CT | MD | Social Worker |
| 016803 | CT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danbury Surgical Associates, P.C. | Surgery | Past | Accepting new patients |
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": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1912943176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HIGH FIELDS DR",
"city": "DANBURY",
"state": "CT",
"postal_code": "068113452",
"telephone_number": "203-790-7480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 FEDERAL RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106129",
"telephone_number": "203-743-3877",
"fax_number": "203-743-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIL",
"first_name": "VIJAY",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "016803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1168038",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.