Individual provider Active NPI

Prashant Shantilal Patel, M.D.

  • Interventional Cardiology Physician
  • Terre Haute, IN
National Provider Identifier
1932333457
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01076640A Issued in IN
Practice address
1429 N 6TH St
Terre Haute, IN 47807-1019
Phone
(812) 242-3175
Fax
(812) 242-3543
NPI assigned
May 12, 2009
Last updated
May 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X A107712 CA
Internal Medicine Physician 207R00000X 01076640A IN
Cardiovascular Disease Physician 207RC0000X 01076640A IN
Interventional Cardiology Physician 207RI0011X 01076640A IN Primary
Interventional Cardiology Physician 207RI0011X Q5245 TX
Nuclear Cardiology Physician 207UN0901X 01076640A IN

Addresses

Primary practice location

1429 N 6TH St
Terre Haute, IN 47807-1019

Mailing address

221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 242-3186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN2 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
I20151026000038 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0547452963 Reassigns benefits to 1 organization
I20160512000998 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Advanced Heart Failure and Transplant Cardiology 0547452963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Advanced Heart Failure and Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine
Education
Indiana University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1429 No 6TH St
Uap Medical Office Building
Terre Haute, IN 47807-1037
Phone (812) 232-0564

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting22
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A107712CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Ut Physicians CurrentSince Sep 1, 2015 Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince May 1, 2016 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince May 1, 2016 Accepting new patients
William Patrick Stanford, MD, PHD, a Professional Medical Corporation Internal Medicine Past Accepting new patients

Locations

1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

1429 N 6th St
Ofc
Terre Haute, IN 47807

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3105

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

Interoperability endpoints

  • Direct secure messaging: ppatel168182@direct.cshs.org
  • Direct secure messaging: pspatel@unionhealth.cernerdirect.com

Organizations & group practices 6

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 9

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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1932333457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074214",
            "telephone_number": "812-242-3186",
            "fax_number": "812-242-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 N 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071019",
            "telephone_number": "812-242-3175",
            "fax_number": "812-242-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRASHANT",
        "middle_name": "SHANTILAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A107712",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01076640A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01076640A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01076640A",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "Q5245",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "IN",
            "license": "01076640A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.